Provider Demographics
NPI:1003521923
Name:QUARTEY, BERNARD NII KPAKPA (DNP)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:NII KPAKPA
Last Name:QUARTEY
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 PLANK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4902
Mailing Address - Country:US
Mailing Address - Phone:540-785-9900
Mailing Address - Fax:
Practice Address - Street 1:2306 PLANK RD STE 100
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4902
Practice Address - Country:US
Practice Address - Phone:540-785-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024184577363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily