Temitope Edomwonyi Enoma, is a
Licensed Practical Nurse based in Lorton, Virginia. Temitope Edomwonyi Enoma is licensed to practice in Virginia (license number 0002103911) and his current practice location is
7602 Surrey Grove Court, Lorton, Virginia. He can be reached at his office (for appointments etc.) via phone at
(240) 234-6470.
NPI number for Temitope Edomwonyi Enoma is 1104642966 and his current mailing address is 7602 Surrey Grove Court, Lorton, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104642966.
Provider's Profile
Full Name | Temitope Edomwonyi Enoma |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 7602 Surrey Grove Court, Lorton, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104642966
- Provider Enumeration Date: 11/26/2024
- Last Update Date: 11/26/2024
Medical Identifiers
Medical identifiers for Temitope Edomwonyi Enoma such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104642966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 0002103911 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Temitope Edomwonyi Enoma is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Temitope Edomwonyi Enoma, 7602 Surrey Grove Court, Lorton, VA 22079 Ph: (240) 234-6470 | Temitope Edomwonyi Enoma, 7602 Surrey Grove Court, Lorton, VA 22079 Ph: (240) 234-6470 |
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