Nana Luther Adabankah
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bronx, NY
NPI 1891650776 · NPPES record last updated Dec 22, 2025
Key facts
- NPI
- 1891650776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- F406559-01 (NY)
- Practice address
- 1563 Walton Ave Apt 4D
Bronx, NY 10452-6152 - Phone
- (646) 353-7498
- NPI assigned
- Dec 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F406559-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F406559-01 | NY | Yes |
Addresses
Primary practice location
1563 Walton Ave Apt 4D
Bronx, NY 10452-6152
Mailing address
1563 Walton Ave Apt 4D
Bronx, NY 10452-6152
Phone (646) 353-7498
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All providers in Bronx, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.