MRS. OLIVIA OBAZUGHANMWEN (NPI# 1124689781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124689781 |
| Entity Type | Individual |
| Full Name | MRS. OLIVIA OBAZUGHANMWEN |
| Credential | APRN, FNP-C |
| Practice Address |
2021 Crawford Dr Mesquite TX 75149-7627 |
| Practice Telephone | 2144020849 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06192366 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2021 CRAWFORD DR |
| City | MESQUITE |
| State | TX |
| Zip Code | 75149-7627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891340642 | Michael Ryan Tong | Pharmacist | 300 West Kearney, Mesquite, TX 75149 | 2019-08-08 |
| 1720548118 | Life Specialty Pharmacy, Inc. | Pharmacy | 949 W. Kearney St., Suite 107, Mesquite, TX 75149 | 2019-03-21 |
| 1851857304 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 750 Highway 352, Mesquite, TX 75149 | 2019-02-20 |
| 1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
| 1356844484 | D&b Dentistry, Pllc | Clinic/Center | 5550 South Buckner Blvd., Ste 270, Mesquite, TX 75149 | 2018-03-15 |
| 1811426216 | Higher Ground Services LLC | In Home Supportive Care | 624 Yosemite Trail, Mesquite, TX 75149 | 2017-06-08 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1922530591 | Johnny Staton | Physician Assistant | 1208 Paintbrush St, Mesquite, TX 75149 | 2017-04-01 |
| 1811432115 | Fastpass Ucm, Pllc | Emergency Medicine | 1080 E Cartwright Rd, Suite 120, Mesquite, TX 75149 | 2016-12-22 |
| 1508309170 | Code 3 Emergency Partners At Mesquite, LLC | Clinic/Center | 1080 E Cartwright Rd Ste 100, Mesquite, TX 75149 | 2016-11-29 |
| Find all providers in zip 75149 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083263875 | Alpha Mental Health Services, LLC | Nurse Practitioner | 2033 Military Pkwy Ste 402d, Mesquite, TX 75149-3670 | 2019-09-05 |
| 1740833359 | Linda G Hampton | Nurse Practitioner | 1905 Pinehurst Ln Apt 6207, Mesquite, TX 75150-7236 | 2019-07-23 |
| 1982267621 | Gloria Nkem Agbadiba | Nurse Practitioner | 1037 Kory Dr, Mesquite, TX 75149-6979 | 2019-04-18 |
| 1023571718 | Secunda Udoye | Nurse Practitioner | 4616 Via Ventura, Mesquite, TX 75150-8229 | 2019-04-09 |
| 1003380437 | Doris K Egyawan | Nurse Practitioner | 624 Yosemite Trl, Mesquite, TX 75149-2583 | 2019-01-18 |
| 1366914541 | Christie Payne | Nurse Practitioner | 3617 Swallow Dr, Mesquite, TX 75181-4321 | 2018-12-27 |
| 1811469471 | Bari Eichelbaum | Nurse Practitioner | 1324 N Galloway Ave Ste 104, Mesquite, TX 75149-2440 | 2018-12-20 |
| 1881183507 | Fatuma Hassen | Nurse Practitioner | 1409 Jessica Ln, Mesquite, TX 75149-6983 | 2018-05-08 |
| 1174023469 | Ahuruchi Joyce Chibueze | Nurse Practitioner | 2820 Turtle Dove Ln, Mesquite, TX 75181-4915 | 2018-02-13 |
| 1700398195 | Rebekah Lynn Ellis | Nurse Practitioner | 2109 Birch Bnd, Mesquite, TX 75181-1837 | 2017-10-25 |
| Find all providers in MESQUITE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.