Individual
VIVIENNE T NKENGAFAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
APRN.CNP.0037250
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0037250
OH
Other
Enumeration date
08/12/2024
Last updated
12/06/2024
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