Provider Demographics
NPI:1679150460
Name:NANA DJOMO, ARNOLD MANDELA (DNP)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:MANDELA
Last Name:NANA DJOMO
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
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Mailing Address - Street 1:4102 PINION DR
Mailing Address - Street 2:
Mailing Address - City:USAF ACADEMY
Mailing Address - State:CO
Mailing Address - Zip Code:80840-2502
Mailing Address - Country:US
Mailing Address - Phone:719-333-5949
Mailing Address - Fax:719-333-1249
Practice Address - Street 1:4102 PINION DR
Practice Address - Street 2:
Practice Address - City:USAF ACADEMY
Practice Address - State:CO
Practice Address - Zip Code:80840-2502
Practice Address - Country:US
Practice Address - Phone:719-333-1576
Practice Address - Fax:719-333-1249
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-26
Last Update Date:2024-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COC-APN.0003772-C-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily