| NPI | 1952166423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDELIS N ELOKOBI CEO 419-779-4854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-11-20 |