MEDICARE: IRENE FOSUAA FRIMPONG RN

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	163WH0200X	Home Health Registered Nurse	0001290828	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952259566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRENE FOSUAA FRIMPONG RN

Provider Business Mailing Address
First Line	:	14325 WILLARD RD UNIT D
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20151-2110
Country	:	US
Telephone Number	:	571-470-7541
Fax Number	:	571-444-6786

Provider Business Practice Location Address
First Line	:	14325 WILLARD RD UNIT D
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20151-2110
Country	:	US
Telephone Number	:	571-470-7541
Fax Number	:	571-444-6786

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

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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