Individual provider · NPI-1

Emmanuel Owusu Amoah, CRNP

Nurse Practitioner, Primary Care · Wynnewood, PA

NPI number1659124352

StatusActive

Last updated in NPPESSep 3, 2025

Details

NPI: 1659124352
Entity type: Individual (NPI-1)
Name: Emmanuel Owusu Amoah
Credential: CRNP
Sex: Male
Sole proprietor: No
Enumeration date: Apr 10, 2024
Certification date: Sep 3, 2025
Last updated: Sep 3, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP2300X	Nurse Practitioner, Primary Care	SP029426	PA	Yes
363L00000X	Nurse Practitioner	SP029426	PA

Practice location

100 E Lancaster Avenue
Suite 361 Mob East
Wynnewood, PA 19096-3433

Phone 484-476-8390

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336

Phone 484-337-1632

Other practice locations

52 Baltimore Pike
Glen Mills, PA 19342-3002

Phone 484-557-8446

583 Shoemaker Road
King Of Prussia, PA 19406-4201

Phone 484-378-2424 · Fax 484-723-5324

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