Provider Demographics
NPI:1669124731
Name:NKWETTA, RICHARD ASAH (APRN, PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ASAH
Last Name:NKWETTA
Suffix:
Gender:M
Credentials:APRN, PMHNP-BC
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Mailing Address - Street 1:2138 ESPEY CT STE 1
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-2495
Mailing Address - Country:US
Mailing Address - Phone:443-470-7916
Mailing Address - Fax:443-470-7718
Practice Address - Street 1:2138 ESPEY CT STE 1
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-2495
Practice Address - Country:US
Practice Address - Phone:443-470-7916
Practice Address - Fax:443-470-7718
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2024-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR176453363LP0808X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health