Ellen Koduah Agbo has Nurse Practitioner as her primary medical specialty. Their primary office is: 10432 Balls Ford Rd in Manassas, Virginia. There is an additional office location, for a total of two, for Ellen Koduah Agbo that can be viewed further down. They attended Sorry, her university is not listed and graduated in 2021 (around 3 years of experience). They are listed as doing telehealth appointments.
Ellen Koduah Agbo
10432 Balls Ford Rd
Manassas, Virginia 20109
571-356-2640
Phone: 571-356-2640
Enter a starting address:
Medical School: Sorry, her university is not listed
Graduation Year: 2021
The Primary Medical Specialty for Ellen Koduah Agbo is listed as: Nurse Practitioner
Approximate Years of Experience: 3
PAC (PECOS ID)#: 0446655971
NPI #: 1306416672
NPI Created On: 06/29/2021
NPI Last Updated Listed as: 04/26/2023
Primary Taxonomy Code: 363LP0808X
License Number:
0024181591
Listed Gender: Female
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $17
Number of Payments:: 1
Form of Payment: In-kind items and services
Ownership Interest:
Third party is a Charity:: No
Record ID:: 788094921
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Neuroscience
Name of Drug #1: SPRAVATO
Open Associated Drug #1: 50458-028-02
Payments Total: $13
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 794693167
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: VRAYLAR
Open Associated Drug #1: 61874-115-31
Payments Total: $19
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 830279667
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: PSYCHIATRY
Name of Drug #1: CAPLYTA
Open Associated Drug #1: 72060-142-30
Payments Total: $11
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 820518609
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: TRINTELLIX
Open Associated Drug #1: 64764-720-09
Payments Total: $19
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 820518605
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: TRINTELLIX
Open Associated Drug #1: 64764-720-09
Payments Total: $14
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 845966409
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: PSYCHIATRY
Name of Drug #1: REXULTI
Open Associated Drug #1: 59148-035-13
Payments Total: $13
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 845966411
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: PSYCHIATRY
Name of Drug #1: ABILIFY MAINTENA
Open Associated Drug #1: 59148-018-71
Payments Total: $27
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 845966413
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: PSYCHIATRY
Name of Drug #1: BRINTELLIX
Open Associated Drug #1: 64764-550-30
Payments Total: $20
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 845966415
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: PSYCHIATRY
Name of Drug #1: BRINTELLIX
Open Associated Drug #1: 64764-550-30
Payments Total: $25
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 834846915
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: PSYCHIATRY
Name of Drug #1: ABILIFY MAINTENA
Open Associated Drug #1: 59148-018-71
1.
1320 Central Park Blvd
Fredericksburg, VA 22401
Suite 251
Group Members: 0
Phone: 571-356-2640
Enter a starting address:
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