Healthcare Provider Details

I. General information

NPI: 1023584430
Provider Name (Legal Business Name): CECILIA AMO ABOAGYE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 QUIGLEY BLVD
HISTORIC NEW CASTLE DE
19720-8112
US

IV. Provider business mailing address

23 BUTTERCUP CIR
ELKTON MD
21921-1400
US

V. Phone/Fax

Practice location:
  • Phone: 302-323-9400
  • Fax:
Mailing address:
  • Phone: 917-373-6099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG0012436
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF343671-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: