Provider Demographics
NPI:1194357780
Name:KWARTENG NYARKO, CATHERINE (PMHNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:KWARTENG NYARKO
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2931 MONTALBO
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-6507
Mailing Address - Country:US
Mailing Address - Phone:817-298-7516
Mailing Address - Fax:
Practice Address - Street 1:2931 MONTALBO
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75054-6507
Practice Address - Country:US
Practice Address - Phone:704-906-7357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144926363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health