Healthcare Provider Details

I. General information

NPI: 1326669235
Provider Name (Legal Business Name): PRISCILLA AGYEMANG ABABIO M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PRISCILLA BAAFI

II. Dates (important events)

Enumeration Date: 05/01/2020
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 N 3RD ST ESSENTIA HEALTH
BRAINERD MN
56401
US

IV. Provider business mailing address

3559 SHADY LANE CIRCLE
BRAINERD MN
56401
US

V. Phone/Fax

Practice location:
  • Phone: 218-829-2861
  • Fax: 202-745-3731
Mailing address:
  • Phone: 443-687-2236
  • Fax: 202-745-3731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: