Provider Demographics
NPI:1396083432
Name:AMANKWAH, MAAME (DNP/APRN-BC)
Entity type:Individual
Prefix:DR
First Name:MAAME
Middle Name:
Last Name:AMANKWAH
Suffix:
Gender:F
Credentials:DNP/APRN-BC
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:
Other - Last Name:MENSAH-AMANKWAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP/APRN-BC
Mailing Address - Street 1:1080 BLAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013
Mailing Address - Country:US
Mailing Address - Phone:615-243-5206
Mailing Address - Fax:
Practice Address - Street 1:1080 BLAIRFIED DRIVE
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013
Practice Address - Country:US
Practice Address - Phone:615-243-5206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN168789163WG0000X
TN17351363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice