Provider Demographics
NPI:1588136063
Name:GYEPI-ATTEE, AGNES NANA ABA (APN, FNP-C)
Entity type:Individual
Prefix:
First Name:AGNES
Middle Name:NANA ABA
Last Name:GYEPI-ATTEE
Suffix:
Gender:F
Credentials:APN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 FROSTWOOD DR STE 1.10
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2301
Mailing Address - Country:US
Mailing Address - Phone:713-338-5519
Mailing Address - Fax:
Practice Address - Street 1:5263 HWY 95
Practice Address - Street 2:
Practice Address - City:FORT MOHAVE
Practice Address - State:AZ
Practice Address - Zip Code:86426-9223
Practice Address - Country:US
Practice Address - Phone:928-704-6400
Practice Address - Fax:928-768-1150
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-21
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ223784363LF0000X
COC-APN.0100163-C-NP363LF0000X
WAAP61381645363LF0000X
TXAP138306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily