Individual
CHRISTOLOGUS O. OBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP, PMHNP
Contact information
Practice address
1104 WALNUT DR, ARDMORE, OK 73401-2353
(580) 226-0543
(580) 226-2284
Mailing address
1104 WALNUT DR, ARDMORE, OK 73401-2353
(580) 226-0543
(580) 226-2284
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1098897
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
213780
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201217830A
—
OK
01
—
213780
OKLAHOMA STATE BOARD OF NURSING
OK
Enumeration date
12/01/2022
Last updated
02/29/2024
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