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NPI Code Detail

MEDICARE: CHRISTOPHER OBIANOM NWOSU

MEDICARE: CHRISTOPHER OBIANOM NWOSU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideHC5401NC
2376K00000XNurse's AideHC5401NC

General Provider Information

NPI Number : 1649892738
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER OBIANOM NWOSU
Provider Business Mailing Address
First Line : 13603 SHALLOW WELL DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28278-7447
Country : US
Telephone Number : 704-918-2989
Fax Number :
Provider Business Practice Location Address
First Line : 11709 FRUEHAUF DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-7284
Country : US
Telephone Number : 704-918-2989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2020
Last Update Date : 05/11/2020

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Directions to “ CHRISTOPHER OBIANOM NWOSU ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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