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 1:2296 OPITZ BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3354
Mailing Address - Country:US
Mailing Address - Phone:703-523-0998
Mailing Address - Fax:757-227-5192
Practice Address - Street 1:2296 OPITZ BLVD STE 300
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3354
Practice Address - Country:US
Practice Address - Phone:703-523-0998
Practice Address - Fax:757-227-5192
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172018363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily