ENIOLA OLUWATOSIN FAWIBE

FORT WAYNE, IN
NPI1639617830
Former NameENIOLA OLUWATOSIN FABUNMI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71006932A)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: IN  71006932A)
163W00000X Registered Nurse
(Licence: IN  28232019A)
Enumeration Date2017-02-08
Last Update Date2022-10-10
Business Address
ENIOLA OLUWATOSIN FAWIBE NP-C
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6280
Phone number: 260-458-3830
Mailing Address
ENIOLA OLUWATOSIN FAWIBE NP-C
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: 260-266-6013