Antwi, Agyare

Antwi, Agyare is an sole proprietor health care provider with primary practice located at 17339 Heath Grove Ln , Richmond TX 77407-8027. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Antwi, Agyare can be contacted via phone (574) 217-2408.

Contact Information

Primary practice address
17339 Heath Grove Ln Richmond TX 77407-8027
Phone: (574) 217-2408
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 202205300RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1068282 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202205309NP-PP Oregon

Profile Details

NPI number 1245988484
LBN Legal business name Antwi, Agyare
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2022
Last updated Apr 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245988484 NPPES
Other 15535934 CAQH ID
MEDICAID 500810911 CAQH ID

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