Provider Demographics
NPI:1437746955
Name:ODIMBA, CHRISTIANA U (RN)
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:U
Last Name:ODIMBA
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 1:38291 ORCHID LN
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93552-3090
Mailing Address - Country:US
Mailing Address - Phone:818-714-4156
Mailing Address - Fax:
Practice Address - Street 1:38291 ORCHID LN
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93552-3090
Practice Address - Country:US
Practice Address - Phone:818-714-4156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA470867163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty