Provider Demographics
NPI:1487003828
Name:NWOSU, INEMESIT MBANG (MSN, WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:INEMESIT
Middle Name:MBANG
Last Name:NWOSU
Suffix:
Gender:F
Credentials:MSN, WHNP-BC
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Mailing Address - Street 1:7121 S PADRE ISLAND DR
Mailing Address - Street 2:STE 200
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-4940
Mailing Address - Country:US
Mailing Address - Phone:361-993-6000
Mailing Address - Fax:361-985-1152
Practice Address - Street 1:7121 SPID DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-4938
Practice Address - Country:US
Practice Address - Phone:361-993-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX703551163WX0003X
TXAP131017363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient