Healthcare Provider Details

I. General information

NPI: 1538091707
Provider Name (Legal Business Name): ESTHER A BOATENG MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

5290 SHAWNEE RD STE 320
ALEXANDRIA VA
22312-2381
US

IV. Provider business mailing address

2650 RICHMOND HWY # 2944
STAFFORD VA
22554-5095
US

V. Phone/Fax

Practice location:
  • Phone: 877-788-2880
  • Fax: 877-904-3069
Mailing address:
  • Phone: 877-788-2880
  • Fax: 877-904-3069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024197447
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001208673
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: