Individual provider · Type 1 NPI
Thecla Ihuaku Obi, NP
Family Nurse Practitioner · Rochester, NY
NPI number
1679801633
Active
Practice location
1425 Portland Ave
Rochester, NY 14621-3011
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice locations
- 322 Lake Ave, Brown Square Center, Rochester, NY 14608-7141 · (585) 254-6480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 576732 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 338190 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679801633
Thecla Ihuaku Obi, NP's National Provider Identifier is 1679801633, issued on Dec 2, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rochester, NY. The record was last updated on Feb 20, 2025.