Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN IDUMA
ActiveELLEN IDUMA is a Family Nurse Practitioner healthcare provider located in FAIRFAX, Virginia. NPI 1417350018 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · FAIRFAX, VA
Registration Details
- NPI Number
- 1417350018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2014 (11.866098062075 yrs)
- Last Updated
- Jan 3, 2020
- License
-
0024171998 (VA)
Practice Information
- Address
-
10301 NEW GUINEA RDFAIRFAX, VA, 220323268Browse VA providers · Browse ZIP 22032
- Phone
- 7037645112
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| SUZAN ELIZABETH SHIBLA | CFNP | 1174519227 |
| MRS. DARLA A. ANDERSON | NP | 1487644886 |
| JENNIFER BALLARD SQUIRES | APRN, BC (NURSEPRACT | 1306880588 |
| JULIANA CHOI | NP | 1336178516 |
| KERIN LANKEY MOKAREM | NP | 1912936204 |
| LAURA ELLEN RIGNEY | FNP | 1922039403 |
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.