Provider Demographics
NPI:1851755433
Name:NKENGFAC, FILIBEL
Entity type:Individual
Prefix:
First Name:FILIBEL
Middle Name:
Last Name:NKENGFAC
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5739 LITTLE RED ROVER ST
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9667
Mailing Address - Country:US
Mailing Address - Phone:240-413-9953
Mailing Address - Fax:
Practice Address - Street 1:5739 LITTLE RED ROVER ST
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9667
Practice Address - Country:US
Practice Address - Phone:240-413-9953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide