| Ama Nimako-boateng, CRNP | |
| 100 Paramount Blvd, Orwigsburg, PA 17961-2202 | |
| (272) 639-1000 | |
| Not Available | 
| Full Name | Ama Nimako-boateng | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 100 Paramount Blvd, Orwigsburg, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750105771 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP031330 (Pennsylvania) | Primary | 
| Entity Name | St Lukes Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 | 
| Entity Name | Gslpg, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ama Nimako-boateng, CRNP 100 Paramount Blvd, Orwigsburg, PA 17961-2202 Ph: () - | Ama Nimako-boateng, CRNP 100 Paramount Blvd, Orwigsburg, PA 17961-2202 Ph: (272) 639-1000 | 
| Mrs. Christin Nichole Kellett, CRNP,FNP-BC,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 Centre Tpke, Orwigsburg, PA 17961 Phone: 570-366-2613 | |
| Rebecca A O'donnell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1165 Centre Tpke, Orwigsburg, PA 17961 Phone: 709-681-3005 Fax: 570-968-1305 | |
| Julie Kim Le, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Paramount Blvd, Orwigsburg, PA 17961 Phone: 866-785-8537 Fax: 570-808-3298 | |
| Melissa S Hix, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Paramount Blvd, Orwigsburg, PA 17961 Phone: 272-678-1000 | |
| Stacey Ann Nester, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1165 Centre Tpke, Orwigsburg, PA 17961 Phone: 866-785-8537 | |
| Kelsey Clauser, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Hollywood Blvd, Orwigsburg, PA 17961 Phone: 570-366-1557 |