MEDICARE: NWANDOBI I OGBONNA

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
1	164X00000X	Licensed Vocational Nurse	320724	TX

General Provider Information

NPI Number	:	1881172658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NWANDOBI I OGBONNA

Provider Business Mailing Address
First Line	:	1113 INDEPENDENCE TRL
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-2103
Country	:	US
Telephone Number	:	469-610-0832
Fax Number	:

Provider Business Practice Location Address
First Line	:	1113 INDEPENDENCE TRL
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-2103
Country	:	US
Telephone Number	:	469-610-0832
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2018
Last Update Date	:	08/02/2018

Similar Medicare Providers

1760464432 — DR. JAY HEYDEN SCIUCHETTI DDS
Practice Location Address:

2103 S GRAND BLVD
SPOKANE, WA
99203-2349

Practice Phone: 509-624-0542
Practice Fax: 509-624-2332

1629100862 — G B COOLEY SERVICES SOUTH GRAND
Practice Location Address:

2103 S GRAND ST
MONROE, LA
71202-2521

Practice Phone: 318-396-6300
Practice Fax: 318-396-3660

1437911393 — HEATHER M JARVIS MS, LCMHC
Practice Location Address:

140 W SHORE RD
GRAND ISLE, VT
05458-2103

Practice Phone: 802-355-1110
Practice Fax:

1730442807 — ANDREA B GERKE RPH
Practice Location Address:

7955 HIGHWAY N , T-2103
DARDENNE PRAIRIE, MO
63368-7382

Practice Phone: 636-625-2821
Practice Fax:

1447859236 — ALL STAR AUTISM SERVICES LLC
Practice Location Address:

4000 W 68TH ST
PRAIRIE VILLAGE, KS
66208-2103

Practice Phone: 913-284-9009
Practice Fax: 913-712-9735

1891465894 — MADELINE SALSMAN
Practice Location Address:

4000 W 68TH ST
PRAIRIE VILLAGE, KS
66208-2103

Practice Phone: 913-318-9500
Practice Fax:

Directions to “ NWANDOBI I OGBONNA ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.