Provider Demographics
NPI:1881243814
Name:OGBONNA, SHARON AMARACHI (RN)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:AMARACHI
Last Name:OGBONNA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11655 BRIAR FOREST DR APT 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5037
Mailing Address - Country:US
Mailing Address - Phone:832-955-3218
Mailing Address - Fax:
Practice Address - Street 1:11655 BRIAR FOREST DR APT 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5037
Practice Address - Country:US
Practice Address - Phone:832-955-3218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX967015163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse