Individual provider · Type 1 NPI

Millicent Boa-Amponsem, DNP, PMHNP-BC, CRNP

Psychiatric/Mental Health Nurse Practitioner · Apple Valley, MN

NPI number 1659858769 Active

Practice location

14800 Galaxie Ave Ste 305
Apple Valley, MN 55124-4530

Fax (952) 432-2328

Mailing address

4240 Park Glen Rd
St. Louis Park, MN 55416-5427

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X1971170 (MN)
Psychiatric/Mental Health Registered Nurse 163WP0808XR213614 (MD)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XR213614 (MD)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X8696 (MN)

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

5 other providers at this address

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About NPI 1659858769

Millicent Boa-Amponsem, DNP, PMHNP-BC, CRNP's National Provider Identifier is 1659858769, issued on Jul 20, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Apple Valley, MN. The record was last updated on May 27, 2025.