Provider Demographics
NPI:1003399916
Name:KOKES, GLORIA
Entity Type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:
Last Name:KOKES
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:GLORIA
Other - Middle Name:
Other - Last Name:OKOLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2429 M ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-2715
Mailing Address - Country:US
Mailing Address - Phone:402-731-7333
Mailing Address - Fax:402-614-5405
Practice Address - Street 1:2429 M ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-2715
Practice Address - Country:US
Practice Address - Phone:402-731-7333
Practice Address - Fax:402-614-5405
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112594363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily