Provider Demographics
NPI:1336974286
Name:MENSAH-AGGREY, WILHELMINA ARABA (FNP-BC)
Entity type:Individual
Prefix:
First Name:WILHELMINA
Middle Name:ARABA
Last Name:MENSAH-AGGREY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12686 PERCHANCE TER
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-5191
Mailing Address - Country:US
Mailing Address - Phone:571-338-0812
Mailing Address - Fax:
Practice Address - Street 1:12686 PERCHANCE TER
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-5191
Practice Address - Country:US
Practice Address - Phone:571-338-0812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024191000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty