Healthcare Provider Details

I. General information

NPI: 1669937330
Provider Name (Legal Business Name): ABIGAIL ASENSO MENSAH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 WRANGLE HILL RD STE 205
BEAR DE
19701-3838
US

IV. Provider business mailing address

54 PINYON CT
DOVER DE
19904-1869
US

V. Phone/Fax

Practice location:
  • Phone: 302-616-9324
  • Fax:
Mailing address:
  • Phone: 646-286-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF342771
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0012167
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: