Individual
THERESA BOAKYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
109 ABBY LN, FREDERICKSBURG, VA 22405-2783
(703) 589-3024
Mailing address
109 ABBY LN, FREDERICKSBURG, VA 22405-2783
(703) 589-3024
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024189059
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023167735
ANCC CERTIFICATION
VA
Enumeration date
01/15/2024
Last updated
01/15/2024
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