Provider Demographics
NPI:1235920968
Name:SARPONG, HILDA (PMHNP- BC)
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:
Last Name:SARPONG
Suffix:
Gender:F
Credentials:PMHNP- BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4342 POTOMAC HIGHLANDS CIR
Mailing Address - Street 2:
Mailing Address - City:TRIANGLE
Mailing Address - State:VA
Mailing Address - Zip Code:22172-1788
Mailing Address - Country:US
Mailing Address - Phone:630-430-1418
Mailing Address - Fax:
Practice Address - Street 1:4342 POTOMAC HIGHLANDS CIR
Practice Address - Street 2:
Practice Address - City:TRIANGLE
Practice Address - State:VA
Practice Address - Zip Code:22172-1788
Practice Address - Country:US
Practice Address - Phone:630-430-1418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA24193443363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health