Emmaculate Ndifor, NP
Nurse Practitioner, Psych/Mental Health in Woodbridge, VA. Individual provider (NPI-1).
NPI number1457802498
StatusActive
Last updated in NPPESJun 17, 2026
Details
- NPI
- 1457802498
- Entity type
- Individual (NPI-1)
- Name
- Emmaculate Ndifor
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2016
- Certification date
- Jun 17, 2026
- Last updated
- Jun 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 0024174051 | VA | Yes |
| 363LF0000X | Nurse Practitioner, Family | R182600 | MD | |
| 363LF0000X | Nurse Practitioner, Family | 0024174051 | VA | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | R182600 | MD |
Practice location
14497 Potomac Mills Rd # 1133Woodbridge, VA 22192-6807
Phone 130-133-5845
Mailing address
12449 Pfitzner CtWoodbridge, VA 22192-5595
Phone 301-335-8453
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