| Irenious Pognibal Suglo, | |
|
99 Tremont St, Manassas Park, VA 20111-1800 | |
| (571) 242-4645 | |
| Not Available |
| Full Name | Irenious Pognibal Suglo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 99 Tremont St, Manassas Park, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295547933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024192023 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Irenious Pognibal Suglo, 13322 Carmella Ct, Bristow, VA 20136-1033 Ph: (571) 242-4645 | Irenious Pognibal Suglo, 99 Tremont St, Manassas Park, VA 20111-1800 Ph: (571) 242-4645 |
Andrea M Landis, PHD, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 99 Tremont St, Manassas Park, VA 20111 Phone: 703-993-5880 | |
Diona Martyn, PHD, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 99 Tremont St, Manassas Park, VA 20111 Phone: 703-993-5880 | |
Osita Mgbendi, DNP- PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Palisades Cir, Manassas Park, VA 20111 Phone: 973-610-1334 | |
Ashley Wiest, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 99 Tremont St, Manassas Park, VA 20111 Phone: 703-993-5880 |