Provider Demographics
NPI:1295066801
Name:IWOBI, CHRISTIAN (FNP)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:IWOBI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9105 W FLAMINGO RD APT 1011
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6431
Mailing Address - Country:US
Mailing Address - Phone:469-536-5899
Mailing Address - Fax:702-760-5818
Practice Address - Street 1:6415 S FORT APACHE RD STE 185
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-6746
Practice Address - Country:US
Practice Address - Phone:702-530-2266
Practice Address - Fax:702-760-5818
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18485363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily