Provider Demographics
NPI:1164557435
Name:OKAFOR, MARYJOY OGOCHUKWU (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARYJOY
Middle Name:OGOCHUKWU
Last Name:OKAFOR
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 1:3301 KADY LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-7455
Mailing Address - Country:US
Mailing Address - Phone:614-837-9168
Mailing Address - Fax:
Practice Address - Street 1:3301 KADY LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-7455
Practice Address - Country:US
Practice Address - Phone:614-837-9168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.345768163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse