Provider Demographics
NPI:1265792352
Name:OBI, NKIRU P (LPN)
Entity type:Individual
Prefix:MS
First Name:NKIRU
Middle Name:P
Last Name:OBI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 NEW JERSEY AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1428
Mailing Address - Country:US
Mailing Address - Phone:301-577-7091
Mailing Address - Fax:
Practice Address - Street 1:901 NEW JERSEY AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1428
Practice Address - Country:US
Practice Address - Phone:301-577-7091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLPN1003667164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse