Provider Demographics
NPI:1477751196
Name:OKOYA, ENIENI ELIZABETH (APRN)
Entity Type:Individual
Prefix:MRS
First Name:ENIENI
Middle Name:ELIZABETH
Last Name:OKOYA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 PECAN VLY
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-1202
Mailing Address - Country:US
Mailing Address - Phone:405-694-9196
Mailing Address - Fax:
Practice Address - Street 1:900 E. MAIN STREET,
Practice Address - Street 2:RED ROCK BEHAVIORAL HEALTH SERVICES BUILDING 52-100
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071
Practice Address - Country:US
Practice Address - Phone:405-307-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK91263363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health