Provider Demographics
NPI:1083106751
Name:ILOBA, SASKIA NNEKA (RN)
Entity Type:Individual
Prefix:MRS
First Name:SASKIA
Middle Name:NNEKA
Last Name:ILOBA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 E VISTA RIDGE MALL DR APT 5834
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4018
Mailing Address - Country:US
Mailing Address - Phone:940-337-8886
Mailing Address - Fax:
Practice Address - Street 1:275 E VISTA RIDGE MALL DR APT 5834
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4018
Practice Address - Country:US
Practice Address - Phone:940-337-8886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX873684163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse