Healthcare Provider Details

I. General information

NPI: 1437023983
Provider Name (Legal Business Name): PRECIOUS DUMEBI OBIANOZIE RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 BENSON RD
GARNER NC
27529-3947
US

IV. Provider business mailing address

545 ROLLING CREEK CIR
CLAYTON NC
27520-5136
US

V. Phone/Fax

Practice location:
  • Phone: 919-820-1251
  • Fax:
Mailing address:
  • Phone: 919-820-1251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number313714
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: