Healthcare Provider Details

I. General information

NPI: 1215801873
Provider Name (Legal Business Name): ADWOA AMANKWAA ASARE NMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5650 S KYRENE RD APT 1310
TEMPE AZ
85283-1785
US

IV. Provider business mailing address

5650 S KYRENE RD APT 1310
TEMPE AZ
85283-1785
US

V. Phone/Fax

Practice location:
  • Phone: 240-440-3096
  • Fax:
Mailing address:
  • Phone: 240-440-3096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: