EMMACULATE NDIFOR

WOODBRIDGE, VA
NPI1457802498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024174051)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MD  R182600)
363LF0000X Nurse Practitioner, Family
(Licence: VA  0024174051)
Enumeration Date2016-10-14
Last Update Date2023-05-12
Business Address
EMMACULATE NDIFOR NP
14000 CROWN CT
WOODBRIDGE, VA 22193-1460
Phone number: 540-680-1556
Mailing Address
EMMACULATE NDIFOR NP
12449 PFITZNER CT
WOODBRIDGE, VA 22192-5595
Phone number: 301-335-8453