Active NPIIndividual providerSole proprietor

Theresa Antwi

Nurse Practitioner, Psych/Mental Health in East Hartford, Connecticut

NPI Number1053081398
Practice location
1331 Burnside Ave Apt A4, East Hartford, CT 06108-1577
Fax
—
Last updated
September 17, 2021

Theresa Antwi is a Nurse Practitioner, Psych/Mental Health based in East Hartford, CT. Theresa Antwi practices in East Hartford, CT. The NPI Number for Theresa Antwi is 1053081398 and holds a License No. 105066 (CT). The current practice location address for Theresa Antwi is 1331 Burnside Ave Apt A4, East Hartford, CT 06108-1577 and can be reached out via phone at 240-408-0736.

Provider Profile Details

NPI Number
1053081398
Provider Name
Theresa Antwi
Provider Entity Type
Individual
Gender
Female
Address
1331 Burnside Ave Apt A4, East Hartford, CT 06108-1577
Phone Number
240-408-0736
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
September 17, 2021
Last Update Date
September 17, 2021
Certification Date
September 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1331 Burnside Ave Apt A4
East Hartford, CT 06108-1577
Zip
06108-1577
Phone Number
240-408-0736
East Hartford, CT 06108Get directions →

Provider Business Mailing Address Details

Address
1331 Burnside Ave Apt A4
East Hartford, CT 06108-1577
City
East Hartford
State
CT
Zip
06108-1577
Phone Number
240-408-0736

License Information

License Number
105066
License State
CT
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 Theresa Antwi?

The NPI number of Theresa Antwi is 1053081398. It was assigned on September 17, 2021 and is currently active in the NPPES registry.

What is the specialty of Theresa Antwi?

Theresa Antwi is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 105066.

Where does Theresa Antwi practice?

The practice location is 1331 Burnside Ave Apt A4, East Hartford, CT 06108-1577. The office can be reached at 240-408-0736 (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 1053081398 directly on the NPPES registry website.

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