person
Mr. Edwin Taji Akwanga, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Gallup, New Mexico
NPI 1659061323

Edwin Taji Akwanga is a Psychiatric/Mental Health Nurse Practitioner based in Gallup, NM and is specialized in Psychiatric/Mental Health. Edwin Taji Akwanga practices in Gallup, NM and has the professional credentials of PMHNP-BC. The NPI Number for Edwin Taji Akwanga is 1659061323 and holds a License No. 73651 (New Mexico).

The current practice location address for Edwin Taji Akwanga is 1500 S Second St Ste B, Gallup, NM and can be reached out via phone at 325-260-6726.

Location: 1500 S Second St Ste B, Gallup, NM, 87301-5898
person
Provider Profile Details
NPI Number
1659061323
Provider Name
Edwin Taji Akwanga
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
1500 S Second St Ste B, Gallup, NM, 87301-5898
Phone Number
325-260-6726
Fax Number
Provider Enumeration Date
05/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Second St Ste B
City
State
Zip
87301-5898
Phone Number
325-260-6726
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Second St Ste B
City
State
Zip
87301-5898
Phone Number
325-260-6726
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
73651 (New Mexico)
Definition
Definition to come...
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