Caroline Ebot Enoh, NP
Nurse Practitioner in North Aurora, IL. Individual provider (NPI-1).
NPI number1982177473
StatusActive
Last updated in NPPESJan 23, 2019
Details
- NPI
- 1982177473
- Entity type
- Individual (NPI-1)
- Name
- Caroline Ebot Enoh
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 7, 2019
- Last updated
- Jan 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209017332 | IL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 209017332 | IL |
Practice location
2616 Mc Duffee CirNorth Aurora, IL 60542-2027
Phone 630-906-1874
Mailing address
12040 Raymond CtHuntley, IL 60142-8069
Phone 847-515-1505
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