Ighofose, Samone

Ighofose, Samone is an individual health care provider with primary practice located at 4400 University Dr , Fairfax VA 22030-4422. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Ighofose, Samone can be contacted via phone (270) 307-1479.

Contact Information

Primary practice address
4400 University Dr Fairfax VA 22030-4422
Phone: (270) 307-1479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 233305 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0024176758 Virginia

Profile Details

NPI number 1841764586
LBN Legal business name Ighofose, Samone
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2019
Last updated Oct 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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