Healthcare Provider Details

I. General information

NPI: 1639019235
Provider Name (Legal Business Name): ARMEL NGAH PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7430 WENTWORTH AVE
RICHFIELD MN
55423-4133
US

IV. Provider business mailing address

303 21ST ST
NEWPORT MN
55055-1094
US

V. Phone/Fax

Practice location:
  • Phone: 612-488-0040
  • Fax: 833-973-4055
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number14064
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: