MEDICARE: CAROLINE AWOSIKA PMHNP

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	363L00000X	Nurse Practitioner	16473	WI
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	16473	WI

General Provider Information

NPI Number	:	1619782885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE AWOSIKA PMHNP

Provider Business Mailing Address
First Line	:	2022 E EDGEWOOD AVE
Second Line	:
City	:	SHOREWOOD
State	:	WI
Zip	:	53211-2935
Country	:	US
Telephone Number	:	414-405-0670
Fax Number	:	608-305-2626

Provider Business Practice Location Address
First Line	:	2266 N PROSPECT AVE STE 304
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-6306
Country	:	US
Telephone Number	:	414-405-0670
Fax Number	:	608-305-2626

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

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	06/09/2026

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