Individual provider · Type 1 NPI
Kwesi Lee Koranteng Immanuel, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Casa Grande, AZ
NPI number
1952267775
Active
Practice location
818 E Wiley Way
Casa Grande, AZ 85122-1218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 254947 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1952267775
Kwesi Lee Koranteng Immanuel, PMHNP's National Provider Identifier is 1952267775, issued on Dec 26, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Casa Grande, AZ. The record was last updated on Jun 9, 2026.