Healthcare Provider Details

I. General information

NPI: 1235070020
Provider Name (Legal Business Name): IZUCHUKWU NWAOBASI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7051 RIVERVIEW AVE
MIDDLETOWN OH
45042-3598
US

IV. Provider business mailing address

7051 RIVERVIEW AVE
MIDDLETOWN OH
45042-3598
US

V. Phone/Fax

Practice location:
  • Phone: 513-883-5879
  • Fax: 513-883-5879
Mailing address:
  • Phone: 513-883-5879
  • Fax: 513-883-5879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: