Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 403164 | NY |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | MF6164228 | PA |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | SP022634 | PA |
NPI | 1023622594 |
---|---|
Provider Name | Abigail Adomaa Frimpong |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17403-3676 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2020 |
Last Update Date | 11/02/2022 |