Individual ProviderChristian IwobiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6415 S Fort Apache Rd Ste 185, Las Vegas, NV 89148-6746(702) 530-2266(469) 536-5899PECOS EnrollmentBased on the most recent information from CMS, provider Christian Iwobi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1295066801Provider TypeIndividualFull NameIwobi, ChristianCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date1/21/2010Last Updated12/12/2024Contact InformationPractice LocationPractice Address6415 S Fort Apache Rd Ste 185, Las Vegas, NV 89148-6746Phone(702) 530-2266Fax(702) 760-5818Mailing LocationMailing Address9105 W Flamingo Rd Apt 1011, Las Vegas, NV 89147-6431Phone(469) 536-5899Fax(702) 760-5818Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense18485California