Healthcare Provider Details

I. General information

NPI: 1285402248
Provider Name (Legal Business Name): ESTHER SERWAA ADJEI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8609 WESTWOOD CENTER DR
TYSONS VA
22182-7521
US

IV. Provider business mailing address

8609 WESTWOOD CENTER DR STE 110
TYSONS VA
22182-7525
US

V. Phone/Fax

Practice location:
  • Phone: 571-484-1276
  • Fax:
Mailing address:
  • Phone: 571-484-1276
  • Fax: 703-777-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024196964
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2025070711
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: