MEDICARE: MRS. ABIGAIL TAAH ASUMADU-MENSAH FNP, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NP1040488	DC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP1040488	DC
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024183214	VA
4	363LF0000X	Family Nurse Practitioner	0024183214	VA

General Provider Information

NPI Number	:	1063163020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ABIGAIL TAAH ASUMADU-MENSAH FNP, PMHNP

Provider Business Mailing Address
First Line	:	17 GRAY BIRCH LN
Second Line	:
City	:	STAFFORD
State	:	VA
Zip	:	22554-6837
Country	:	US
Telephone Number	:	240-660-6907
Fax Number	:

Provider Business Practice Location Address
First Line	:	5510 CHEROKEE AVE STE 300
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2320
Country	:	US
Telephone Number	:	540-358-8809
Fax Number	:	707-736-7193

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2022
Last Update Date	:	07/15/2025

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