Ediomi Edet Enebong
NP | Nurse Practitioner - Psych/Mental Health | 6+ years Exp
4925 S Broadway Ave # 1077, Wichita
Kansas, 67216-3716
507-353-2419
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 |
| Phone: | 507-353-2419 |
| Fax: | 507-607-8967 |
Professional Identification Codes:
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.
| Address: | Ediomi Edet Enebong
4925 S Broadway Ave # 1077,
Wichita, Kansas |
| Zip: | 67216-3716 |
| Phone Number: | 507-353-2419 |
| Fax Number: | 507-607-8967 |
Patients can reach Ediomi Edet Enebong at
4925 S Broadway Ave # 1077, Wichita, Kansas or can
call to book an appointment on 507-353-2419.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.