Provider Demographics
NPI:1528402765
Name:OBIERO, STELLAH KWAMBOKA (CNP)
Entity Type:Individual
Prefix:
First Name:STELLAH
Middle Name:KWAMBOKA
Last Name:OBIERO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:231 SPRINGSIDE DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4530
Mailing Address - Country:US
Mailing Address - Phone:330-666-9544
Mailing Address - Fax:330-670-8569
Practice Address - Street 1:231 SPRINGSIDE DR
Practice Address - Street 2:SUITE 205
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-4530
Practice Address - Country:US
Practice Address - Phone:330-666-9544
Practice Address - Fax:330-670-8569
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2023-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH14437-NP363LA2200X
CA95023659363LA2200X
IL277.002710363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health