Provider Demographics
NPI:1114500691
Name:ANOKUTE, IRENE NGOZI (NURSE)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:NGOZI
Last Name:ANOKUTE
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 RUMBROOK RD
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-3810
Mailing Address - Country:US
Mailing Address - Phone:914-439-8900
Mailing Address - Fax:
Practice Address - Street 1:23 RUMBROOK RD
Practice Address - Street 2:
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523-3810
Practice Address - Country:US
Practice Address - Phone:914-439-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY567167163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool