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NPI Code Detail

MEDICARE: MRS. UFEI ANWIFOR KOMETA NP

MEDICARE: MRS. UFEI ANWIFOR KOMETA NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024189303VA

General Provider Information

NPI Number : 1912764739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. UFEI ANWIFOR KOMETA NP
Provider Business Mailing Address
First Line : 8309 REGALIA CT
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23838-5116
Country : US
Telephone Number : 419-508-6647
Fax Number :
Provider Business Practice Location Address
First Line : 2420 PEMBERTON RD
Second Line :
City : HENRICO
State : VA
Zip : 23233-2003
Country : US
Telephone Number : 888-811-2131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2024
Last Update Date : 02/28/2024

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