Individual provider · Type 1 NPI
Matilda Boateng, NP
Nurse Practitioner · Ashburn, VA
Practice location
20130 Lakeview Center Plz Ste 400
Ashburn, VA 20147-5905
Mailing address
12504 Quarterhorse Ln
Woodbridge, VA 22192-6370
Other practice locations
- 12504 Quarterhorse Ln, Woodbridge, VA 22192-6370 · (703) 389-0608
- 2715 Dogtown Rd, Goochland, VA 23063-2424 · (609) 335-6595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2023102217 (VA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1124804877
Matilda Boateng, NP's National Provider Identifier is 1124804877, issued on Sep 7, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ashburn, VA. The record was last updated on Sep 28, 2026.