location
search-icon
person
Ellen Iduma
Family Nurse Practitioner in Fairfax, Virginia
NPI 1417350018

Ellen Iduma is a Family Nurse Practitioner based in Springfield, VA and is specialized in Family. Ellen Iduma practices in Fairfax, VA. The NPI Number for Ellen Iduma is 1417350018 and holds a License No. 0024171998 (Virginia).

The current practice location address for Ellen Iduma is 10301 New Guinea Rd, Fairfax, VA and can be reached out via phone at 703-764-5112.

Location: 10301 New Guinea Rd, Fairfax, VA, 22153-1351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417350018
Provider Name
Ellen Iduma
Credential
Provider Entity Type
Individual
Gender
Female
Address
10301 New Guinea Rd, Fairfax, VA, 22153-1351
Phone Number
703-764-5112
Fax Number
Provider Enumeration Date
09/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10301 New Guinea Rd
City
Fairfax
State
Virginia
Zip
22032-3268
Phone Number
703-764-5112
Fax Number
person
Provider Business Mailing Address Details
Address
10301 New Guinea Rd
City
Fairfax
State
Virginia
Zip
22032-3268
Phone Number
703-764-5112
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024171998 (Virginia)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.