Provider Demographics
NPI:1942916945
Name:OBI, LINDA I (FNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:I
Last Name:OBI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:I
Other - Last Name:ASHIEDU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4473 MIRA LOMA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-6450
Mailing Address - Country:US
Mailing Address - Phone:925-817-0693
Mailing Address - Fax:
Practice Address - Street 1:4473 MIRA LOMA DR
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-6450
Practice Address - Country:US
Practice Address - Phone:925-817-0693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA656096163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse