Provider Demographics
NPI:1912274556
Name:OBIANOZIE, NAOMI (RN)
Entity Type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:
Last Name:OBIANOZIE
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 1:6251 NEWBURY DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-8464
Mailing Address - Country:US
Mailing Address - Phone:281-345-8350
Mailing Address - Fax:281-345-8350
Practice Address - Street 1:6251 NEWBURY DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-8464
Practice Address - Country:US
Practice Address - Phone:281-345-8350
Practice Address - Fax:281-345-8350
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX650381163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse