Provider Demographics
NPI:1669282299
Name:OBWOGI, VALENTINE BITUTU
Entity type:Individual
Prefix:
First Name:VALENTINE
Middle Name:BITUTU
Last Name:OBWOGI
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 1:13250 NASSAU CT NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-4989
Mailing Address - Country:US
Mailing Address - Phone:763-318-5008
Mailing Address - Fax:
Practice Address - Street 1:13250 NASSAU CT NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-4989
Practice Address - Country:US
Practice Address - Phone:763-318-5008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker