Ifeoma Elizabeth Ilodianya, NP
Nurse Practitioner, Family in Potomac Falls, VA. Individual provider (NPI-1).
NPI number1669931069
StatusActive
Last updated in NPPESJul 21, 2021
Details
- NPI
- 1669931069
- Entity type
- Individual (NPI-1)
- Name
- Ifeoma Elizabeth Ilodianya
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2019
- Certification date
- Jul 21, 2021
- Last updated
- Jul 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024177370 | VA | Yes |
| 363LF0000X | Nurse Practitioner, Family | AC003135 | MD |
Practice location
46090 Lake Center PlzPotomac Falls, VA 20165-5876
Phone 678-431-9980
Mailing address
43662 Jernigan TerLeesburg, VA 20176-1279
Phone 678-431-9980
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All 5 Family Nurse Practitioner providers in Potomac Falls · All 95 providers in Potomac Falls
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