Search › Indiana › 363L00000X
Eniola Fawibe, NP-C
NPI 1639617830 · on the registry since 2017
Practice
- Address
- 7333 W Jefferson Blvd
Fort Wayne, IN 46804 - Phone
- (260) 458-3830
- Organisation at this address
- Qhg Of Fort Wayne Company Llc
Qhg Of Fort Wayne Company LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
163W00000X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana