Provider Demographics
NPI:1083802144
Name:OKOYE, VIVIAN OGOEGBUNAM (RN)
Entity Type:Individual
Prefix:
First Name:VIVIAN
Middle Name:OGOEGBUNAM
Last Name:OKOYE
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 1:12805 SHAKER BLVD APT 303
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-2078
Mailing Address - Country:US
Mailing Address - Phone:216-751-1467
Mailing Address - Fax:
Practice Address - Street 1:12805 SHAKER BLVD APT 303
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-2078
Practice Address - Country:US
Practice Address - Phone:216-751-1467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-13
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN274627163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse