Provider Demographics
NPI:1083227847
Name:SEY, GIFTY NKROMAH (NP)
Entity Type:Individual
Prefix:
First Name:GIFTY
Middle Name:NKROMAH
Last Name:SEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6803 MILL VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20187-9204
Mailing Address - Country:US
Mailing Address - Phone:540-341-0952
Mailing Address - Fax:
Practice Address - Street 1:6803 MILL VALLEY DR
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20187-9204
Practice Address - Country:US
Practice Address - Phone:540-341-0952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024178607363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner