National Provider Identifier
Thecla Ihuaku Obi, NP
Thecla Ihuaku Obi, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-4518.
Profile Overview
- NPI
- 1679801633
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- December 02, 2009
- Last Updated
- February 20, 2025
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 922-4518
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Family Nurse Practitioner (363LF0000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1679801633
- Entity Type
- Individual
- Last Name
- Obi
- First Name
- Thecla
- Middle Name
- Ihuaku
- Credential
- NP
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 922-4518
- Enumeration Date
- December 02, 2009
- Last Updated
- February 20, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 20, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)
- Other Identifiers
- 03734892 (NY), J400240135 (NY, Medicare Ptan)