AGYARE ANTWI PMHNP-BC NPI 1245988484

NPI Information

  • NPI: 1245988484
  • Provider Name: AGYARE ANTWI, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17339 HEATH GROVE LN
    RICHMOND, TX
    ZIP 77407
  • Phone: (574) 217-2408

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NPI Details

Agyare Antwi, PMHNP-BC is a psychiatric/mental health nurse practitioner in Richmond, TX with 5 years of experience. Agyare Antwi, PMHNP-BC NPI is 1245988484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17339 HEATH GROVE LN
RICHMOND, TX
ZIP 77407-027
Phone: (574) 217-2408

The NPI 1245988484 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/16/2022 and was last updated on 4/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse202205300RNOREGONNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health1068282TEXASNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health202205309NP-PPOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
115535934OTHERCAQH ID
2500810911MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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