Provider Demographics
NPI:1508313834
Name:AMOAKOWAA, OLIVIA (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:AMOAKOWAA
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14700 E 104TH AVE UNIT 3503
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-8711
Mailing Address - Country:US
Mailing Address - Phone:172-075-7192
Mailing Address - Fax:
Practice Address - Street 1:14700 E 104TH AVE UNIT 3503
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-8711
Practice Address - Country:US
Practice Address - Phone:720-757-1929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997960-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily