Active NPIIndividual provider

Fosua Agyenim Boateng, PMHNP

Nurse Practitioner, Psych/Mental Health in Mount Vernon, New York

NPI Number1013772128
Practice location
6 Gramatan Ave Ste 606, Mount Vernon, NY 10550-3208
Fax
—
Last updated
February 19, 2024

Fosua Agyenim Boateng is a Nurse Practitioner, Psych/Mental Health based in Mount Vernon, NY. Fosua Agyenim Boateng practices in Mount Vernon, NY and has the professional credentials of PMHNP. The NPI Number for Fosua Agyenim Boateng is 1013772128 and holds a License No. 405667 (NY). The current practice location address for Fosua Agyenim Boateng is 6 Gramatan Ave Ste 606, Mount Vernon, NY 10550-3208 and can be reached out via phone at 212-961-7299.

Provider Profile Details

NPI Number
1013772128
Provider Name
Fosua Agyenim Boateng
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
6 Gramatan Ave Ste 606, Mount Vernon, NY 10550-3208
Phone Number
212-961-7299
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2024
Last Update Date
February 19, 2024
Certification Date
February 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Gramatan Ave Ste 606
Mount Vernon, NY 10550-3208
Zip
10550-3208
Phone Number
212-961-7299
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
207 Hoover RD Apt 2
Yonkers, NY 10710-3440
City
Yonkers
State
NY
Zip
10710-3440
Phone Number
914-536-7623

License Information

License Number
405667
License State
NY
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Fosua Agyenim Boateng, PMHNP?

The NPI number of Fosua Agyenim Boateng, PMHNP is 1013772128. It was assigned on February 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Fosua Agyenim Boateng, PMHNP?

Fosua Agyenim Boateng, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 405667.

Where does Fosua Agyenim Boateng, PMHNP practice?

The practice location is 6 Gramatan Ave Ste 606, Mount Vernon, NY 10550-3208. The office can be reached at 212-961-7299 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013772128 directly on the NPPES registry website.

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