Provider Demographics
NPI:1407370240
Name:OKAFOR, EMEKA LINUS CHIKWELU (RN)
Entity Type:Individual
Prefix:MR
First Name:EMEKA LINUS
Middle Name:CHIKWELU
Last Name:OKAFOR
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:LINUS EMEKA
Other - Middle Name:CHIKWELU
Other - Last Name:OKAFOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2608 87TH TRL N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3742
Mailing Address - Country:US
Mailing Address - Phone:763-222-4746
Mailing Address - Fax:763-888-0075
Practice Address - Street 1:3675 124TH CIR NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-1659
Practice Address - Country:US
Practice Address - Phone:763-222-4746
Practice Address - Fax:763-888-0075
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN157754-5163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1417342494OtherHOME AND COMMUNITY BASED SERVICES