Individual provider · Type 1 NPI

Eniola Oluwatosin Fawibe, NP-C

Nurse Practitioner · Fort Wayne, IN

NPI number 1639617830 Active

Practice location

7333 W Jefferson Blvd
Fort Wayne, IN 46804-6280

Call (260) 458-3830 Map

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X71006932A (IN)
Nurse Practitioner Primary 363L00000X71006932A (IN)
Registered Nurse 163W00000X28232019A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639617830

Eniola Oluwatosin Fawibe, NP-C's National Provider Identifier is 1639617830, issued on Feb 8, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 10, 2022.