Individual
DR. ERIC MBOH AFUSEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
950 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1077
(317) 963-1616
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1119693
KY
363LF0000X
Family Nurse Practitioner
3008345
KY
363LF0000X
Family Nurse Practitioner
Primary
71006081A
IN
Other
Enumeration date
11/15/2013
Last updated
07/12/2022
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