Provider Demographics
NPI:1083229926
Name:AMOAKO, RANDY OSEI (APRN, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:RANDY
Middle Name:OSEI
Last Name:AMOAKO
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 UNIVERSITY DR APT 14C
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3473
Mailing Address - Country:US
Mailing Address - Phone:919-724-6204
Mailing Address - Fax:
Practice Address - Street 1:4800 UNIVERSITY DR APT 14C
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3473
Practice Address - Country:US
Practice Address - Phone:919-724-6204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF08200186363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily