Provider Demographics
NPI:1619782885
Name:AWOSIKA, CAROLINE (PMHNP)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:AWOSIKA
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:OYEJOLA
Other - Middle Name:
Other - Last Name:OLAKUNLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2022 E EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:WI
Mailing Address - Zip Code:53211-2935
Mailing Address - Country:US
Mailing Address - Phone:414-405-0670
Mailing Address - Fax:608-305-2626
Practice Address - Street 1:2266 N PROSPECT AVE STE 304
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-6306
Practice Address - Country:US
Practice Address - Phone:414-405-0670
Practice Address - Fax:608-305-2626
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16473363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health