NPI 1124597661 · live from the CMS NPI Registry
Gordon Addo, FNP-C
Nurse Practitioner, Family in Falls Church, VA. National Provider Identifier 1124597661, active.
NPI record
| NPI | 1124597661 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 500 W Annandale Rd, Falls Church, VA 22046 |
| Practice phone | 703-521-6662 |
| Mailing address | 1759 Gray Hawk Dr, Missouri City, TX 77489 |
| Enumerated | November 14, 2018 |
| Last updated | January 26, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | AP138305 (TX) |
| Nurse Practitioner, Family | 363LF0000X | NP500015050 (DC) |
| Nurse Practitioner, Family primary | 363LF0000X | 0024188682 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.