Organization
GIFTEDHAND INTEGRATIVE HEALTH & BEHAVIORAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUFUNKE PATIENCE MOMOH DNP (CEO)
(317) 561-0525
Entity
Organization
Contact information
Practice address
12423 STONEBORO CT, FORT WAYNE, IN 46845-9570
(832) 578-4056
(260) 327-4551
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
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/04/2026
Last updated
05/11/2026
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