Provider Demographics
NPI:1932359718
Name:MENS, MARY KWAA (RN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:KWAA
Last Name:MENS
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:MRS
Other - First Name:MARY
Other - Middle Name:KWAA
Other - Last Name:KWARTENG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, FNP-C
Mailing Address - Street 1:6009 FENWICK LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-2270
Mailing Address - Country:US
Mailing Address - Phone:817-657-9370
Mailing Address - Fax:
Practice Address - Street 1:400 SW 25TH AVE
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-8246
Practice Address - Country:US
Practice Address - Phone:817-657-9370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX697782363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily