Provider Demographics
NPI:1992401384
Name:AMOAH, ESTHER (DNP)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:AMOAH
Suffix:
Gender:
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9815 MAIN ST STE 208
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-2099
Mailing Address - Country:US
Mailing Address - Phone:301-253-4004
Mailing Address - Fax:301-253-3391
Practice Address - Street 1:9815 MAIN ST STE 208
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-2099
Practice Address - Country:US
Practice Address - Phone:012-534-0043
Practice Address - Fax:301-253-3391
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR235455363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1740212893Medicaid