Provider Demographics
NPI:1336893858
Name:UNIVERSAL HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:UNIVERSAL HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:EMMACULATE
Authorized Official - Middle Name:N
Authorized Official - Last Name:NDIFOR
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:703-843-8917
Mailing Address - Street 1:14497 POTOMAC MILLS RD STE 1048
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-6807
Mailing Address - Country:US
Mailing Address - Phone:703-843-8917
Mailing Address - Fax:
Practice Address - Street 1:14497 POTOMAC MILLS RD STE 1048
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-6807
Practice Address - Country:US
Practice Address - Phone:301-335-8453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty