Agnes Mikwa
Nurse Practitioner, Psych/Mental Health in New Castle, DE. Individual provider (NPI-1).
NPI number1992530638
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1992530638
- Entity type
- Individual (NPI-1)
- Name
- Agnes Mikwa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2024
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | L8-0010693 | DE | Yes |
| 163WP0808X | Registered Nurse, Psych/Mental Health | L8-0010693 | DE | |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | L8-0010693 | DE |
Practice location
215 Ermine DrNew Castle, DE 19720-8604
Phone 302-513-5627
Mailing address
215 Ermine DrNew Castle, DE 19720-8604
Phone 302-513-5627
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