| NPI | 1134524580 |
|---|---|
| Doing Business As | CORDELIA NIEKETIEN-TAWARI |
| Entity Type | Organization |
| Authorized Contact | CORDELIA NIEKETIEN-TAWARI CEO/Psych Np Probider 703-869-5361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024165883) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0017137987) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165883) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2024-03-25 |