Ganiyu Adewale
Nurse Practitioner in Falls Church, VA. Individual provider (NPI-1).
NPI number1992258628
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1992258628
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ganiyu Adewale
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2016
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024173701 | VA | Yes |
| 207R00000X | Internal Medicine | R152787 | MD |
Practice location
3300 Gallows RdFalls Church, VA 22042-3307
Phone 703-776-4001 · Fax 703-776-7113
Mailing address
3300 Gallows RdFalls Church, VA 22042-3307
Phone 703-776-4001 · Fax 703-776-7113
Other practice locations
12500 Willbrook Road
Cumberland, MD 21502
Cumberland, MD 21502
Phone 240-964-8564
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