Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.0027573 | OH |
NPI | 1063606523 |
---|---|
Provider Name | Elizabeth Nkenglefac Folefac |
First Address | Upper Arlington, OH 43220-2501 |
Second Address | Upper Arlington, OH 43220-2501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 03/12/2020 |