Provider Demographics
NPI:1568926483
Name:NDUBUISI, CATHERINE OBIOMA
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:OBIOMA
Last Name:NDUBUISI
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CATHERINE
Other - Middle Name:OBIOMA
Other - Last Name:NWEKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NWEKE
Mailing Address - Street 1:9 V ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1012
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 V ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1012
Practice Address - Country:US
Practice Address - Phone:202-509-5755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant