MEDICARE: ADJOA AMOAH 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP017936	PA

General Provider Information

NPI Number	:	1942710660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADJOA AMOAH NP

Provider Business Mailing Address
First Line	:	PO BOX 164
Second Line	:
City	:	CREAMERY
State	:	PA
Zip	:	19430-0164
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	672 MAIN ST STE 1
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-1679
Country	:	US
Telephone Number	:	267-500-1170
Fax Number	:	267-500-1176

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

Provider Enumeration Date	:	10/08/2017
Last Update Date	:	03/10/2024

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