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

Mr. Edwin Akwanga

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1659061323

Mr. Edwin Akwanga is a Nurse Practitioner in Gallup, New Mexico. Qualified in 2023, 3 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Mexico and Texas.

Years since qualifying
3
Licensed in
NM, TX
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1500 S Second St Ste B
Gallup, NM 87301-5898
Phone: (505) 420-5111
Fax: (505) 420-5114
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 73651 (NM)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 1117773 (TX)

Record details

NPI number1659061323
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 8, 2023
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address1500 S Second St Ste B, Gallup, NM 87301-5898

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gallup