Provider Demographics
NPI:1841032141
Name:BEKIEBANG, NATI NUELLA
Entity type:Individual
Prefix:
First Name:NATI
Middle Name:NUELLA
Last Name:BEKIEBANG
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 1:3412 GIBRALTER HEIGHTS DR APT S5
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43609-1226
Mailing Address - Country:US
Mailing Address - Phone:194-721-5988
Mailing Address - Fax:
Practice Address - Street 1:3412 GIBRALTER HEIGHTS DR APT S5
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43609-1226
Practice Address - Country:US
Practice Address - Phone:194-721-5988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH532742163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse