Healthcare Provider Details

I. General information

NPI: 1992359889
Provider Name (Legal Business Name): FAUSTINA DARKO SARPONG APRN-PHMNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR STE S
RICHMOND VA
23294-4648
US

IV. Provider business mailing address

14887 CHERRYDALE DR
WOODBRIDGE VA
22193-5322
US

V. Phone/Fax

Practice location:
  • Phone: 804-220-1262
  • Fax: 571-200-9478
Mailing address:
  • Phone: 571-866-7009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001264302
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024195915
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: