Theresa Awuah

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Decatur, GA

NPI 1942956032 · NPPES record last updated Feb 27, 2022

Key facts

NPI
1942956032
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
RN217478 (GA)
Practice address
160 Clairemont Ave Ste 200
Decatur, GA 30030-2546
Phone
(678) 324-0264
NPI assigned
Feb 27, 2022
Sex
Female
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

LicenseStateTypeSpecialty
RN217478GAMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN217478 GA Yes

Addresses

Primary practice location

160 Clairemont Ave Ste 200
Decatur, GA 30030-2546

Mailing address

160 Clairemont Ave Ste 200
Decatur, GA 30030-2546

Other providers in Decatur, GA

All providers in Decatur, GA · Psychiatric/Mental Health Registered Nurse in Georgia

Sources for this page

Verify at the official NPI Registry.