Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 0024180964 | VA |
NPI | 1003450412 |
---|---|
Provider Name | Felicia Aboagye |
First Address | Woodbridge, VA 22193 |
Second Address | Alexandria, VA 22306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2019 |
Last Update Date | 21/06/2021 |