Individual provider · Type 1 NPI

Mavis A. Amponsah, DNP

Psychiatric/Mental Health Nurse Practitioner · Worcester, MA

NPI number 1003720889 Active

Practice location

425 Lake Ave N
Worcester, MA 01605-2072

Mailing address

425 Lake Ave N Ste 102
Worcester, MA 01605-2073

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X1247517 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003720889

Mavis A. Amponsah, DNP's National Provider Identifier is 1003720889, issued on Sep 29, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Worcester, MA. The record was last updated on Oct 12, 2026.