Individual
FENOT SAMUEL AWALOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 ORANGE ST APT 604, NEW HAVEN, CT 06510-3192
(678) 467-8062
Mailing address
108 ORANGE ST APT 604, NEW HAVEN, CT 06510-3192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP.AP.70139029-NP
WA
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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