Provider Demographics
NPI:1356177109
Name:OBREBSKI, DANIELA
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:OBREBSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29037 ALLDELL WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-1533
Mailing Address - Country:US
Mailing Address - Phone:512-354-6216
Mailing Address - Fax:
Practice Address - Street 1:29037 ALLDELL WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-1533
Practice Address - Country:US
Practice Address - Phone:512-354-6216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX857102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse