Individual
OBOT GRACE TIGAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
100 E LANCASTER AVE STE 151, WYNNEWOOD, PA 19096-3438
(484) 476-1000
(484) 476-9000
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 476-1000
(484) 476-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP028596
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
SP028596
PA
Other
Enumeration date
10/30/2020
Last updated
02/10/2026
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