Individual
MAVIS AMANKWAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2357271
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2357271
MA
Other
Enumeration date
04/20/2022
Last updated
06/16/2022
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