MEDICARE: IRENE ACHEAMPONG PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	0110011950	VA

General Provider Information

NPI Number	:	1932975133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRENE ACHEAMPONG PA-C

Provider Business Mailing Address
First Line	:	1801 N BEAUREGARD ST APT 202
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22311-1879
Country	:	US
Telephone Number	:	704-906-4383
Fax Number	:

Provider Business Practice Location Address
First Line	:	6355 WALKER LN STE 311
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22310-3258
Country	:	US
Telephone Number	:	703-822-0222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	05/05/2026

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Directions to “ IRENE ACHEAMPONG PA-C” Practice Location

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