Individual
DR. OLUFUNKE PATIENCE MOMOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, PMHNP-BC
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(833) 724-8326
(260) 266-7935
Mailing address
12423 STONEBORO CT, FORT WAYNE, IN 46845-9570
(317) 561-0525
(260) 327-4551
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012002A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012002A
IN
363LF0000X
Family Nurse Practitioner
AC006377
MD
363LF0000X
Family Nurse Practitioner
AP70104990
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71012002A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC009048
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP70104990
WA
Other
Enumeration date
12/26/2021
Last updated
06/23/2026
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