Provider Demographics
NPI:1225593429
Name:OGBUEHI, CHRISTY AMANDA OBIAGERI (AGNP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:AMANDA OBIAGERI
Last Name:OGBUEHI
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8008 RICE DR # 8008
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-6698
Mailing Address - Country:US
Mailing Address - Phone:469-222-8605
Mailing Address - Fax:
Practice Address - Street 1:8008 RICE DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-6698
Practice Address - Country:US
Practice Address - Phone:469-222-8605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140058363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health