Provider Demographics
NPI:1639572399
Name:BOATEY, ABIGAIL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:BOATEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:OSEI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16712 JEFFERSON DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2115
Mailing Address - Country:US
Mailing Address - Phone:973-652-6066
Mailing Address - Fax:
Practice Address - Street 1:16712 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-2115
Practice Address - Country:US
Practice Address - Phone:973-652-6066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172018363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily