Provider Demographics
NPI:1649508540
Name:OWUSU-NTI, KWASI (APRN PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:KWASI
Middle Name:
Last Name:OWUSU-NTI
Suffix:
Gender:M
Credentials:APRN PMHNP-BC
Other - Prefix:
Other - First Name:BERNARD
Other - Middle Name:KWASI
Other - Last Name:OWUSU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:60 WINDING VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-7194
Mailing Address - Country:US
Mailing Address - Phone:614-772-7999
Mailing Address - Fax:
Practice Address - Street 1:60 WINDING VALLEY DR
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-7194
Practice Address - Country:US
Practice Address - Phone:614-772-7999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0026843363LP0808X
OHRN355985163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health