Individual
ENOVWO EMEKPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13701 OAK PARK BLVD, OAK PARK, MI 48237-2091
(248) 398-0199
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704255006
MI
363LF0000X
Family Nurse Practitioner
Primary
4704255006
MI
363LP2300X
Primary Care Nurse Practitioner
4704255006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704255006
STATE OF MICHIGAN LICENSE
MI
Enumeration date
12/06/2012
Last updated
11/11/2025
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