Healthcare Provider Details

I. General information

NPI: 1912615477
Provider Name (Legal Business Name): MISCHELL OBINALI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 11/14/2022
Certification Date: 11/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5629 ABBOTTSFORD ST
CINCINNATI OH
45212-1345
US

IV. Provider business mailing address

5629 ABBOTTSFORD ST
CINCINNATI OH
45212-1345
US

V. Phone/Fax

Practice location:
  • Phone: 513-290-8108
  • Fax:
Mailing address:
  • Phone: 513-290-8108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: