Provider Demographics
NPI:1548048812
Name:NOMINGEREL, UYANGA CALVO (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:UYANGA
Middle Name:CALVO
Last Name:NOMINGEREL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42009 CEDAR POINT PL
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-2695
Mailing Address - Country:US
Mailing Address - Phone:703-865-6622
Mailing Address - Fax:703-818-2773
Practice Address - Street 1:13880 BRADDOCK RD STE 209
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2463
Practice Address - Country:US
Practice Address - Phone:703-818-2772
Practice Address - Fax:703-818-2773
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001235549363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily