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

Mavis Agyemang

Individual provider Registered Nurse · NPI 1104578251

Mavis Agyemang is a Registered Nurse in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

1162 E 225th St
Bronx, NY 10466-5503
Phone: (347) 270-6078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 742089 (NY)

Record details

NPI number1104578251
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 20, 2022
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022
Mailing address1162 E 225th St, Bronx, NY 10466-5503

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