IndividualActive
Adaku Izunwanne
NPI 1104245224 · Gerontology Nurse Practitioner · Manassas, VA
Provider details
- NPI number
- 1104245224
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0024171147 (VA)
Practice location
9306 Forest Point Cir
Manassas, VA 20110-4700
Phone: (703) 330-3322
Fax: (703) 330-5051
Mailing address
9306 Forest Point Cir
Manassas, VA 20110-4700
Registry dates
- Enumerated
- 2014-04-16
- Last updated
- 2014-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.