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MRS. ABISOLA MORIAM CANADY FNP-BC
NPI 1508577503
Nurse Practitioner - Family in Petersburg, VA

Active since December 09, 2022
601 OLD WAGNER RD BLDG D, PETERSBURG, VA 23805(804) 835-9398 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2023, Dec 9, 2022 (2 updates tracked since 2022).

About Mrs. Abisola Moriam Canady Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ABISOLA MORIAM CANADY FNP-BC (NPI 1508577503) is an individual family provider in Petersburg, Virginia, licensed in Virginia (0024185894) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1508577503
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ABISOLA MORIAM CANADYCredential: FNP-BC
Location Address601 OLD WAGNER RD BLDG DPetersburg, VA 23805-9313
Mailing Address601 Old Wagner Rd Bldg DPetersburg, VA 23805-9313 · (917) 558-7986
Phone(804) 835-9398
Sole ProprietorYes
Enumeration DateDecember 9, 2022
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1508577503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024185894
601 OLD WAGNER RD BLDG D, Petersburg, VA 23805
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUNTER GAGNON PA-C
Physician Assistant
601 OLD WAGNER RD BLDG D
PETERSBURG, VA 23805
Petersburg City (888) 628-8272
DIRECT ANESTHESIA PARTNERS LLC
Nurse Anesthetist, Certified Registered
601 OLD WAGNER RD BLDG D
PETERSBURG, VA 23805
Petersburg City (804) 835-9398
REAL SIMPLE HEALTHCARE LLC
Podiatrist (Foot & Ankle Surgery)
601 OLD WAGNER RD BLDG D
PETERSBURG, VA 23805
Petersburg City (607) 425-1810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abisola Canady's NPI number?

The NPI number for Abisola Canady is 1508577503. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Where is Abisola Canady located?

Abisola Canady practices at 601 Old Wagner Rd Bldg D, Petersburg, VA 23805. The listed phone number is (804) 835-9398.

What is Abisola Canady's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Abisola Canady was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.