Provider Demographics
NPI:1316827611
Name:ESSIEN, AUDREY KOAMPAH (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:KOAMPAH
Last Name:ESSIEN
Suffix:
Gender:F
Credentials:DNP, 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:PO BOX 123
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54903-0123
Mailing Address - Country:US
Mailing Address - Phone:920-123-4567
Mailing Address - Fax:
Practice Address - Street 1:215 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-4747
Practice Address - Country:US
Practice Address - Phone:920-564-5135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1739533363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily