Individual
DR. IFEATU B ENEMMUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-0455
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-0455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95011649
CA
Other
Enumeration date
06/04/2019
Last updated
07/23/2025
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