Doctor Name: | OLUBUNMI OKETUNMBI |
NPI Number: | 1043611171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN0178171 |
Business Practice Address: | 2201 Montgomery Park Blvd Apt 1203 Conroe, TX - 773043553 |
Business Phone Number: | 7194069160 |
Business Fax Number: | |
Mailing Address: | 2201 Montgomery Park Blvd Apt 1203, CONROE |
State: | TX |
Postal Code: | 773043553 |
Phone Number: | 7194069160 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2014 |
NPI Last Update Date: | 09/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | RN0178171 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |