Individual provider · NPI-1

Emilie Anne Adekanbi, FNP-C

Nurse Practitioner, Family · Lake Charles, LA

NPI number1093462376
StatusActive
Last updated in NPPESApr 21, 2025

Details

NPI
1093462376
Entity type
Individual (NPI-1)
Name
Ms. Emilie Anne Adekanbi
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Mar 7, 2022
Certification date
Apr 21, 2025
Last updated
Apr 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family224420LAYes

Practice location

1715 Wolf Cir
Lake Charles, LA 70605-2353

Phone 337-480-7499 · Fax 337-480-7498

Mailing address

Po Box 122525 Dept 2525
Dallas, TX 75312-2152

Phone 337-494-2921 · Fax 337-494-6523

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