Provider Demographics
NPI:1194121822
Name:OBIWURU, NKECHI HELEN
Entity type:Individual
Prefix:
First Name:NKECHI
Middle Name:HELEN
Last Name:OBIWURU
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 1:5409 85TH AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4506
Mailing Address - Country:US
Mailing Address - Phone:202-520-7747
Mailing Address - Fax:
Practice Address - Street 1:5409 85TH AVE APT 102
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4506
Practice Address - Country:US
Practice Address - Phone:202-520-7747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide