Individual
EMMANUEL ENOABANE ENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5040 BRADENTON AVE STE A, DUBLIN, OH 43017-3524
(614) 389-5452
(614) 389-5399
Mailing address
483 PRUDEN DR, PICKERINGTON, OH 43147-2239
(614) 743-4916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.431803
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0035170
OH
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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