NPI 1831616010 · live from the CMS NPI Registry
Chinwe Edith Agbim
Nurse Practitioner, Family in Woodbridge, VA. National Provider Identifier 1831616010, active.
NPI record
| NPI | 1831616010 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 12716 Directors Loop, Woodbridge, VA 22192 |
| Practice phone | 703-730-7815 |
| Enumerated | August 28, 2017 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 0024170435 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.