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Individual
EVELYN MENSAH
Active
Individual
EVELYN MENSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP021731
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103764595
—
PA
01
—
14657908
CAQH ID
—
01
—
RN684708
STATE LICENSE - RN
PA
01
—
SP021731
STATE LICENSE - CRNP
PA
Enumeration date
04/02/2020
Last updated
03/07/2023
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