MEDICARE: GOSTINE DANKWA PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	10002296RN	OR
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP60808469	WA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP132780	TX
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	10002296APRN	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13945105	OTHER		CAQH ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336683440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GOSTINE DANKWA PMHNP-BC

Provider Business Mailing Address
First Line	:	14135 SUNDIAL STONE LN
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-1100
Country	:	US
Telephone Number	:	614-804-0635
Fax Number	:

Provider Business Practice Location Address
First Line	:	633 E RAY RD STE 130
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-4206
Country	:	US
Telephone Number	:	832-819-4378
Fax Number	:	253-954-3116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2016
Last Update Date	:	12/30/2024

Similar Medicare Providers

1386305118 — KIMBERLY LEA LEVERSEE LMSW
Practice Location Address:

633 E RAY RD STE 131
GILBERT, AZ
85296-4206

Practice Phone: 602-345-1803
Practice Fax:

1942481718 — SUNDANCE MEDICAL ASSOCIATES PLLC
Practice Location Address:

633 E RAY RD STE 133
GILBERT, AZ
85296-4206

Practice Phone: 480-782-0609
Practice Fax: 480-782-0610

1619316411 — LAKSHMI LAVANYA NANDYALA ND
Practice Location Address:

633 E RAY RD STE 133
GILBERT, AZ
85296-4206

Practice Phone: 804-986-6378
Practice Fax:

1548689847 — DIVINE HOME HEALTH CARE, LLC
Practice Location Address:

633 E RAY RD STE 130
GILBERT, AZ
85296-4206

Practice Phone: 480-812-3680
Practice Fax:

1700255148 — NICHOLAS T. PUCHALSKI LMFT
Practice Location Address:

633 E RAY RD STE 131
GILBERT, AZ
85296-4206

Practice Phone: 480-256-2829
Practice Fax:

1083276992 — KT INTEGRATIVE MEDICINE LLC
Practice Location Address:

633 E RAY RD STE 131
GILBERT, AZ
85296-4206

Practice Phone: 480-571-3060
Practice Fax: 480-571-3061

Directions to “ GOSTINE DANKWA PMHNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.