Emma Boateng
Nurse Practitioner, Psych/Mental Health in Woodbridge, VA. Individual provider (NPI-1).
NPI number1740936780
StatusActive
Last updated in NPPESMar 1, 2022
Details
- NPI
- 1740936780
- Entity type
- Individual (NPI-1)
- Name
- Emma Boateng
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 28, 2022
- Certification date
- Mar 1, 2022
- Last updated
- Mar 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 0024183745 | VA | Yes |
Practice location
14623 Aurora DrWoodbridge, VA 22193-1231
Phone 571-309-1619
Mailing address
14623 Aurora DrWoodbridge, VA 22193-1231
Phone 571-309-1619
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