Provider Demographics
NPI:1164302907
Name:FRIMPONG, DELA MENSAH (PMHNP)
Entity type:Individual
Prefix:
First Name:DELA
Middle Name:MENSAH
Last Name:FRIMPONG
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19211 STONEY RIDGE PL
Mailing Address - Street 2:
Mailing Address - City:TRIANGLE
Mailing Address - State:VA
Mailing Address - Zip Code:22172-2357
Mailing Address - Country:US
Mailing Address - Phone:571-456-6569
Mailing Address - Fax:
Practice Address - Street 1:19211 STONEY RIDGE PL
Practice Address - Street 2:
Practice Address - City:TRIANGLE
Practice Address - State:VA
Practice Address - Zip Code:22172-2357
Practice Address - Country:US
Practice Address - Phone:571-456-6569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024194488363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty