Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEMITOPE EDOMWONYI ENOMA
Active Sole ProprietorTEMITOPE EDOMWONYI ENOMA is a Licensed Practical Nurse healthcare provider located in LORTON, Virginia. NPI 1104642966 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · LORTON, VA
Registration Details
- NPI Number
- 1104642966
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2024 (1.7430379816383 yrs)
- Last Updated
- Nov 26, 2024
- License
-
0002103911 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7602 SURREY GROVE COURTLORTON, VA, 22079Browse VA providers · Browse ZIP 22079
- Phone
- 2402346470
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.