MEDICARE: FATU ESSIEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372500000X	Chore Provider		NE

General Provider Information

NPI Number	:	1184421000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FATU ESSIEN

Provider Business Mailing Address
First Line	:	220 OAKCREEK DR # NE68528
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68528-1587
Country	:	US
Telephone Number	:	402-817-4959
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 BURR ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68502-3916
Country	:	US
Telephone Number	:	402-817-4959
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2025
Last Update Date	:	03/10/2026

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Directions to “ FATU ESSIEN ” Practice Location

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