Provider Demographics
NPI:1518200450
Name:NWAOBASI, ANNA CHIOMA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:CHIOMA
Last Name:NWAOBASI
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 1:5213 PROVIDENCE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-9269
Mailing Address - Country:US
Mailing Address - Phone:513-578-2858
Mailing Address - Fax:
Practice Address - Street 1:5213 PROVIDENCE RIDGE DR
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-9269
Practice Address - Country:US
Practice Address - Phone:513-578-2858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN279603163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse