Provider Demographics
NPI:1245077494
Name:NTODI, NANA AFUA BENTUM
Entity type:Individual
Prefix:
First Name:NANA AFUA
Middle Name:BENTUM
Last Name:NTODI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 W LOOP 1604 N STE 207
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-2191
Mailing Address - Country:US
Mailing Address - Phone:210-998-6346
Mailing Address - Fax:
Practice Address - Street 1:7010 W LOOP 1604 N STE 207
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-2191
Practice Address - Country:US
Practice Address - Phone:210-998-6346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1165216363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily