Provider Demographics
NPI:1053897538
Name:OGBONNAYA, CHRISTIANA N (RN)
Entity type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:N
Last Name:OGBONNAYA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19723 LAKESIDE POINTE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2201
Mailing Address - Country:US
Mailing Address - Phone:832-316-1855
Mailing Address - Fax:
Practice Address - Street 1:19723 LAKESIDE POINTE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2201
Practice Address - Country:US
Practice Address - Phone:832-316-1855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX791231163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse