Individual
MR. RAPHAEL MPRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
105 S APPLE BLOSSOM DR, CHELAN, WA 98816-8810
(509) 682-6000
Mailing address
600 ORONDO AVE STE 1, WENATCHEE, WA 98801-2800
(509) 662-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
642532
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1050546
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
65235
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61209744
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101320683
—
NY
Enumeration date
04/01/2011
Last updated
07/10/2023
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