Individual
MS. SOPHIA MEKURIA GIZAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5574 NEDDLETON AVE, WOODBRIDGE, VA 22193-4165
(703) 640-8880
Mailing address
5574 NEDDLETON AVE, WOODBRIDGE, VA 22193-4165
(703) 640-8880
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024185701
VA
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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