Provider Demographics
NPI:1801664867
Name:OMAMBIA, FIONA (RN)
Entity type:Individual
Prefix:
First Name:FIONA
Middle Name:
Last Name:OMAMBIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 CHESTER PIKE, BALDWIN TOWERS
Mailing Address - Street 2:SUITE 300/301
Mailing Address - City:EDDYSTONE
Mailing Address - State:PA
Mailing Address - Zip Code:19022-1471
Mailing Address - Country:US
Mailing Address - Phone:484-843-6499
Mailing Address - Fax:
Practice Address - Street 1:1510 CHESTER PIKE, BALDWIN TOWERS
Practice Address - Street 2:SUITE 300/301
Practice Address - City:EDDYSTONE
Practice Address - State:PA
Practice Address - Zip Code:19022-1471
Practice Address - Country:US
Practice Address - Phone:484-843-6499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN725884163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health