Provider Demographics
NPI:1619777562
Name:GYAMFI, BAFFOUR KOFI (DNP - PMHNP)
Entity type:Individual
Prefix:DR
First Name:BAFFOUR
Middle Name:KOFI
Last Name:GYAMFI
Suffix:
Gender:M
Credentials:DNP - PMHNP
Other - Prefix:DR
Other - First Name:KOFI
Other - Middle Name:
Other - Last Name:GYAMFI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:KOFI
Mailing Address - Street 1:N922 TOWER VIEW DR STE 102
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54942-8093
Mailing Address - Country:US
Mailing Address - Phone:480-234-1117
Mailing Address - Fax:
Practice Address - Street 1:N922 TOWER VIEW DR STE 102
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:WI
Practice Address - Zip Code:54942-8093
Practice Address - Country:US
Practice Address - Phone:480-234-1117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16623-33363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health