Provider Demographics
NPI:1114220290
Name:ADUSE, OPOKU (CNP)
Entity Type:Individual
Prefix:MR
First Name:OPOKU
Middle Name:
Last Name:ADUSE
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 ELBERT DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7204
Mailing Address - Country:US
Mailing Address - Phone:614-798-4848
Mailing Address - Fax:
Practice Address - Street 1:1924 ELBERT DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7204
Practice Address - Country:US
Practice Address - Phone:614-798-4848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.320694-COA1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily