Provider Demographics
NPI:1114681418
Name:BROBBEY, YAA GYEBI (NP)
Entity Type:Individual
Prefix:MISS
First Name:YAA
Middle Name:GYEBI
Last Name:BROBBEY
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 1:8371 TILLETT LOOP
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-8313
Mailing Address - Country:US
Mailing Address - Phone:571-533-8761
Mailing Address - Fax:
Practice Address - Street 1:8371 TILLETT LOOP
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8313
Practice Address - Country:US
Practice Address - Phone:571-533-8761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAF03210362363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily