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

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