Provider Demographics
NPI:1790335529
Name:OBADINA, CHRISTINA OLUWAKEMI (RN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:OLUWAKEMI
Last Name:OBADINA
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 1:8808 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-1329
Mailing Address - Country:US
Mailing Address - Phone:929-499-3419
Mailing Address - Fax:929-499-3419
Practice Address - Street 1:8808 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-1329
Practice Address - Country:US
Practice Address - Phone:929-499-3419
Practice Address - Fax:929-499-3419
Is Sole Proprietor?:No
Enumeration Date:2019-09-13
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY749613163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse