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NPI Code Detail

MEDICARE: ESTHER POKUAA ADU NP

MEDICARE: ESTHER POKUAA ADU NP
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
1163W00000XRegistered Nurse28237426AIN
2363LF0000XFamily Nurse Practitioner71015616AIN

General Provider Information

NPI Number : 1598593287
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER POKUAA ADU NP
Provider Business Mailing Address
First Line : 3245 HEALTH DRIVE
Second Line : SUITE 100
City : MISHAWAKA
State : IN
Zip : 46545-3700
Country : US
Telephone Number : 574-647-3437
Fax Number :
Provider Business Practice Location Address
First Line : 1950 RIDGEDALE RD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46614-2243
Country : US
Telephone Number : 574-291-6722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2024
Last Update Date : 05/18/2026

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