Provider Demographics
NPI:1851873327
Name:OCHUBA, THERESA U (RN)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:U
Last Name:OCHUBA
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 1:35 VERNON TER
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-5221
Mailing Address - Country:US
Mailing Address - Phone:862-216-8255
Mailing Address - Fax:
Practice Address - Street 1:35 VERNON TER
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-5221
Practice Address - Country:US
Practice Address - Phone:862-216-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR09369000163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse