Provider Demographics
NPI:1154052942
Name:OKPALOR, UCHENNA (RN)
Entity Type:Individual
Prefix:
First Name:UCHENNA
Middle Name:
Last Name:OKPALOR
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 1:225 PARK HILL AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-4765
Mailing Address - Country:US
Mailing Address - Phone:917-435-0503
Mailing Address - Fax:
Practice Address - Street 1:225 PARK HILL AVE APT 4L
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-4758
Practice Address - Country:US
Practice Address - Phone:917-435-0503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY806022163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse