Individual
WONDIMU S YIRGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5310 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5783
(804) 441-9000
Mailing address
5310 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5783
(804) 441-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024187876
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024187876
VA
363LP2300X
Primary Care Nurse Practitioner
0024187876
VA
Other
Enumeration date
08/01/2022
Last updated
05/11/2026
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