Provider Demographics
NPI:1659124352
Name:AMOAH, EMMANUEL OWUSU (CRNP)
Entity type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:OWUSU
Last Name:AMOAH
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:583 SHOEMAKER ROAD
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-4201
Mailing Address - Country:US
Mailing Address - Phone:484-378-2424
Mailing Address - Fax:484-723-5324
Practice Address - Street 1:583 SHOEMAKER ROAD
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-4201
Practice Address - Country:US
Practice Address - Phone:484-378-2424
Practice Address - Fax:484-723-5324
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029426363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care