Ediomi Edet Enebong is a Wichita, Kansas based nurse practitioner with 6 years of experience in Psych/Mental Health. She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ediomi Edet Enebong is 8117 for Psych/Mental Health in Minnesota. Her current practice location is 4925 S Broadway Ave # 1077, Wichita. Patients can reach her at 507-353-2419 or can fax her at 507-607-8967. Ediomi Edet Enebong is NP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1356996326. Ediomi Edet Enebong provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Ediomi Edet Enebong speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ediomi Edet Enebong
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
NP
Experience:
6+ years
Medical School Attended:
Other
Graduation Year:
2019
Accepts Medicare Assignment:
Yes
Practice Address:
4925 S Broadway Ave # 1077, Wichita, Kansas, 67216-3716
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5496086001
Enrollment ID:
I20211209002599
NPI Number:
1356996326
NPI Enumeration Date:
07 Aug, 2019
NPI Last Update On:
16 Oct, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ediomi Edet Enebong are as mentioned below.
License Number
Specialization
State
Status
8117
Psych/Mental Health
Minnesota
Primary
AP142164
Psych/Mental Health
Texas
Secondary
82079
Psych/Mental Health
Kansas
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Ediomi Edet Enebong is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Western Mental Health Center, Inc. (7315856119)
17
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.