Afua B Addo, NP
Nurse Practitioner, Family in Fairfax, VA. Individual provider (NPI-1).
NPI number1629598289
StatusActive
Last updated in NPPESDec 7, 2021
Details
- NPI
- 1629598289
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Afua B Addo
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2017
- Certification date
- Dec 7, 2021
- Last updated
- Dec 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024174799 | VA | Yes |
Other names
- Afua Biyah Yeboah-Kankam (Former Name)
Practice location
8221 Willow Oaks Corporate DrFairfax, VA 22031
Phone 703-207-6986
Mailing address
8221 Willow Oaks Corporate DrFairfax, VA 22031-4512
Phone 703-207-6986
Other practice locations
12163 Formby St
Bristow, VA 20136-2031
Bristow, VA 20136-2031
Phone 804-503-7874
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