# AGYARE ANTWI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245988484
- **Gender:** Man
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 202205300RN | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1068282 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 202205309NP-PP | OR | Yes |

## Other

- **Enumeration date:** 03/16/2022
- **Last updated:** 04/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 15535934 | CAQH ID | — |
| 05 | — | 500810911 | — | OR |