| Doctor Name: | MRS. PRISCILLA OWUSU OBENG |
| NPI Number: | 1477867414 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED NURSE |
| License Number: | 0001180400 |
| Business Practice Address: | 17902 Main St Dumfries, VA - 220262466 |
| Business Phone Number: | 7035971426 |
| Business Fax Number: | 7037637691 |
| Mailing Address: | 17902 Main St, DUMFRIES |
| State: | VA |
| Postal Code: | 220262466 |
| Phone Number: | 7035971426 |
| Fax Number: | 7037637691 |
| NPI Enumeration Date: | 08/02/2010 |
| NPI Last Update Date: | 01/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 0001180400 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |