Provider Demographics
NPI:1043775547
Name:DARKO-AMOAKO, PRINCESS (PMHNP)
Entity type:Individual
Prefix:
First Name:PRINCESS
Middle Name:
Last Name:DARKO-AMOAKO
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:PRINCESS
Other - Middle Name:
Other - Last Name:DARKO-AMOAKO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1525 S HIGLEY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-5045
Mailing Address - Country:US
Mailing Address - Phone:623-294-9495
Mailing Address - Fax:
Practice Address - Street 1:360 NW 27TH ST # 8-109
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-4158
Practice Address - Country:US
Practice Address - Phone:623-294-9495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-08
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ292813363LP0808X
AZRN215652163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health