Healthcare Provider Details

I. General information

NPI: 1639006067
Provider Name (Legal Business Name): VERA GYASI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

5600 COLUMBIA PIKE APT 910
FALLS CHURCH VA
22041-2753
US

IV. Provider business mailing address

5600 COLUMBIA PIKE APT 910
FALLS CHURCH VA
22041-2753
US

V. Phone/Fax

Practice location:
  • Phone: 571-464-4997
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024197326
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: