Organization
GIFTEDHAND HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUFUNKE PATIENCE MOMOH NP (CHIEF EXECUTIVE OFFICER)
(260) 237-6588
Entity
Organization
Contact information
Practice address
12423 STONEBORO CT, FORT WAYNE, IN 46845-9570
(260) 237-6588
Mailing address
12423 STONEBORO CT, FORT WAYNE, IN 46845-9570
(260) 237-6588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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