Individual
FELICIA E WISENYUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8575 RIXLEW LN, MANASSAS, VA 20109-3701
(301) 593-1315
Mailing address
2084 MOURNING DOVE DR, LOCUST GROVE, VA 22508-3118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024185774
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024185774
BOARD OF NURSING
VA
Enumeration date
11/25/2022
Last updated
01/08/2025
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