Provider Demographics
NPI:1932740982
Name:OHA, NITAS DURU (FNP-C)
Entity Type:Individual
Prefix:
First Name:NITAS
Middle Name:DURU
Last Name:OHA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:NITAS
Other - Middle Name:
Other - Last Name:DURU OHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP- C
Mailing Address - Street 1:555 REPUBLIC DR FL 2
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5481
Mailing Address - Country:US
Mailing Address - Phone:469-655-8865
Mailing Address - Fax:
Practice Address - Street 1:555 REPUBLIC DR FL 2
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5481
Practice Address - Country:US
Practice Address - Phone:469-655-8865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-01
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143380363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty