Emelia Pappoe Amoako, NP
Individual provider Active NPI Nurse Practitioner · Wilmington, NC
NPI 1487760609 · NPPES record last updated Sep 15, 2011
Key facts
- NPI
- 1487760609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN132022 (NC)
- Practice address
- 311 Judges Rd Ste 4E
Wilmington, NC 28405-3655 - Phone
- (910) 791-6767
- Fax
- (910) 791-6890
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132022 | NC | MD | Adult Psychiatric/Mental Health Registered Nurse |
| RN132022 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Health Psychiatric SRV, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 132022 | NC | |
| Nurse Practitioner | 363L00000X | RN132022 | NC | Yes |
Addresses
Primary practice location
311 Judges Rd Ste 4E
Wilmington, NC 28405-3655
Mailing address
311 Judges Rd Ste 4E
Wilmington, NC 28405-3655
Phone (910) 791-6767
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000377 | Medicaid | NC |
Other providers in Wilmington, NC
- American Homepatient, Inc.
- Americare of North Carolina
- Andrea Schweizer Amin
- Eden Amis
- Connie Beth Ammann
- Barry D Amos
- Amy Lewis DDS PLLC
- Amy West LCSW PLLC
- An Apple a Day LLC
- John Anagnost
All providers in Wilmington, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.