Provider Demographics
NPI:1467980755
Name:OBURU, JUNE AKINYI
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:AKINYI
Last Name:OBURU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 HOBBS ST
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-2933
Mailing Address - Country:US
Mailing Address - Phone:919-585-7542
Mailing Address - Fax:919-585-7542
Practice Address - Street 1:924 HOBBS ST
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2933
Practice Address - Country:US
Practice Address - Phone:919-585-7542
Practice Address - Fax:919-585-7542
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC255421163W00000X
313M00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care FacilityGroup - Single Specialty