Ellen Iduma
Ellen Iduma is a Family Nurse Practitioner in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2014.
- Licensed in
- VA
- In the registry since
- 2014
Practice location Address checks out
10301 New Guinea RdFairfax, VA 22032-3268
Phone: (703) 764-5112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 0024171998 (VA) |
|---|
Record details
| NPI number | 1417350018 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 27, 2014 |
| Last updated in NPPES | January 3, 2020 |
| Certification date | January 3, 2020 |
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