Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Iheanyi Nnamdi Amanwanne, NPPSYCH

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639883028

Iheanyi Nnamdi Amanwanne, NPPSYCH is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

2500 E Van Buren St
Phoenix, AZ 85008-6037
Phone: (602) 685-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 282935 (AZ)

Record details

NPI number1639883028
Entity typeIndividual (Type 1)
GenderMale
Credentials NPPSYCH
Sole proprietorNo
NPI enumeratedJanuary 10, 2023
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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