Individual provider · Type 1 NPI

Frederick Antwi

Nurse Practitioner · Pleasant Prairie, WI

NPI number 1215566435 Active

Practice location

12500 Aurora Dr
Pleasant Prairie, WI 53158-1227

Call (262) 857-5000 Map

Mailing address

3918 Church St
Evanston, IL 60203-1513

Other practice locations

  • 1620 W Harrison St, Chicago, IL 60612-3801 · (312) 947-0100

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X17818-33 (WI)
Nurse Practitioner 363L00000X277003776 (IL)
Registered Nurse 163W00000X041409625 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1215566435

Frederick Antwi's National Provider Identifier is 1215566435, issued on Apr 8, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Mar 30, 2026.