Provider Demographics
NPI:1922709815
Name:HOPE CARE NURSE PRACTITIONER IN ADULT HEALTH PC
Entity Type:Organization
Organization Name:HOPE CARE NURSE PRACTITIONER IN ADULT HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:U
Authorized Official - Last Name:ENWERE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:646-645-5440
Mailing Address - Street 1:938 DERRICK ADKINS LN
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3914
Mailing Address - Country:US
Mailing Address - Phone:646-645-5440
Mailing Address - Fax:
Practice Address - Street 1:938 DERRICK ADKINS LN
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3914
Practice Address - Country:US
Practice Address - Phone:646-645-5440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty