Healthcare Provider Details

I. General information

NPI: 1780369116
Provider Name (Legal Business Name): MS. ASHLEY ACHIAMPONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 06/21/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N GEORGE MASON DR
ARLINGTON VA
22205-3683
US

IV. Provider business mailing address

19 WHITECHURCH CT
GERMANTOWN MD
20874-2856
US

V. Phone/Fax

Practice location:
  • Phone: 703-717-4200
  • Fax:
Mailing address:
  • Phone: 301-802-5381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF03230166
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: