Provider Demographics
NPI:1154726404
Name:ENOHMBI, ERNESTINE MBI (RN, DNP, MSN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:ERNESTINE
Middle Name:MBI
Last Name:ENOHMBI
Suffix:
Gender:F
Credentials:RN, DNP, MSN, FNP-BC
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Mailing Address - Street 1:13807 CLARKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-9437
Mailing Address - Country:US
Mailing Address - Phone:240-855-5423
Mailing Address - Fax:979-606-0062
Practice Address - Street 1:13807 CLARKWOOD LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-9437
Practice Address - Country:US
Practice Address - Phone:240-855-5423
Practice Address - Fax:979-606-0062
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2020-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR195511363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily