IndividualActive
Amen Otunba, FNP-C
NPI 1043914245 · Family Nurse Practitioner · Lorton, VA
Provider details
- NPI number
- 1043914245
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0024186850 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9500 Richmond Hwy
Lorton, VA 22079-2124
Phone: (571) 800-8915
Fax: (833) 954-5512
Approximate (ZIP-level) locationGet directions
Mailing address
3360 Post Office Rd Unit 1796
Woodbridge, VA 22195-8052
Additional practice locations (1)
- 12255 Fair Lakes PkwyFairfax, VA 22033-3952Phone: (571) 458-7279
Registry dates
- Enumerated
- 2023-03-30
- Last updated
- 2023-07-19
- Certified
- 2023-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.