FAITH IFEANYI ENWEFAH NURSE PRACTITIONER NPI 1972204766

NPI Information

  • NPI: 1972204766
  • Provider Name: FAITH IFEANYI ENWEFAH, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 113 S PERRY ST STE 206
    LAWRENCEVILLE, GA
    ZIP 30046
  • Phone: (678) 704-5219

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NPI Details

Faith Ifeanyi Enwefah, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Lawrenceville, GA. Faith Ifeanyi Enwefah, NURSE PRACTITIONER NPI is 1972204766. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

113 S PERRY ST STE 206
LAWRENCEVILLE, GA
ZIP 30046-811
Phone: (678) 704-5219

The NPI 1972204766 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/17/2023 and was last updated on 2/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthRN225483GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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