Individual
PATIENCE OTAIGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7722 VISIONARY CT, MANASSAS, VA 20112-7533
(703) 216-6621
Mailing address
7722 VISIONARY CT, MANASSAS, VA 20112-7533
(703) 216-6621
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024178813
VA
Other
Enumeration date
02/22/2020
Last updated
02/22/2020
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