FENOT SAMUEL AWALOM
NPI 1609708817
Nurse Practitioner in New Haven, CT

Active since June 01, 2026
108 ORANGE ST APT 604, NEW HAVEN, CT 06510(678) 467-8062 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fenot Samuel Awalom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FENOT SAMUEL AWALOM (NPI 1609708817) is an individual nurse practitioner in New Haven, Connecticut, licensed in Washington (ARNP.AP.70139029-NP) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1609708817
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFENOT SAMUEL AWALOM
Location Address108 ORANGE ST APT 604New Haven, CT 06510-3192
Mailing Address108 Orange St Apt 604New Haven, CT 06510-3192
Sole ProprietorNo
Enumeration DateJune 1, 2026
NPPES CertifiedJune 1, 2026
NPI 1609708817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WA · ARNP.AP.70139029-NP
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

108 ORANGE ST APT 604, New Haven, CT 06510

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609708817, enumerated as an "individual" on June 01, 2026.

The provider is located at 108 ORANGE ST APT 604 NEW HAVEN, CT 06510 and the phone number is (678) 467-8062.

Nurse Practitioner with taxonomy code 363L00000X.