Organization
NOVA DIABETES PREVENTION & MANAGEMENT, INC.
Active
Other names
NOVA Lifestyle Coach
Organization subpart
No
Provider details
NPI number
Authorized official
CHARITY C NWANEVU RN-MPH (LIFESTYLE COACH/DSMES)
(703) 586-2751
Entity
Organization
Contact information
Practice address
12311 BEECHNUT CT, WOODBRIDGE, VA 22192-2002
(703) 586-3751
Mailing address
12311 BEECHNUT CT, WOODBRIDGE, VA 22192-2002
(703) 586-2751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
11/30/2024
Last updated
05/17/2025
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