Anthony Amoako Addae
Nurse Practitioner, Family in Mansfield, TX. Individual provider (NPI-1).
NPI number1962964791
StatusActive
Last updated in NPPESMar 24, 2023
Details
- NPI
- 1962964791
- Entity type
- Individual (NPI-1)
- Name
- Anthony Amoako Addae
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2019
- Certification date
- Mar 24, 2023
- Last updated
- Mar 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP141172 | TX | Yes |
Practice location
2140 Highway 157 NMansfield, TX 76063-4847
Phone 682-400-4006 · Fax 682-400-4007
Mailing address
7301 Matlock Rd Ste 111Arlington, TX 76002-3405
Phone 817-813-8055
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