Provider Demographics
NPI:1548893027
Name:ENOW, HANS FORMUM I (NP)
Entity type:Individual
Prefix:MR
First Name:HANS FORMUM
Middle Name:
Last Name:ENOW
Suffix:I
Gender:M
Credentials:NP
Other - Prefix:MR
Other - First Name:HANS FORMUM
Other - Middle Name:FRANK
Other - Last Name:ENOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:143 KENNEDY ST NW STE 7
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5269
Mailing Address - Country:US
Mailing Address - Phone:240-755-1953
Mailing Address - Fax:
Practice Address - Street 1:143 KENNEDY ST NW STE 7
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5269
Practice Address - Country:US
Practice Address - Phone:240-755-1953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-13
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR214735207Q00000X
261QP2300X
DCNP1062922363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care