Samone Ighofose, NP-C | |
4400 University Dr, Fairfax, VA 22030-4422 | |
(270) 307-1479 | |
Not Available |
Full Name | Samone Ighofose |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 4400 University Dr, Fairfax, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841764586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 233305 (Georgia) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 0024176758 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Samone Ighofose, NP-C 1040 Huff Rd Nw Apt 1204, Atlanta, GA 30318-4141 Ph: () - | Samone Ighofose, NP-C 4400 University Dr, Fairfax, VA 22030-4422 Ph: (270) 307-1479 |
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