Provider Demographics
NPI:1508040759
Name:OKORO, GEORGEANA CHINOYELUM (RN, MSN, APN APPLICA)
Entity Type:Individual
Prefix:MRS
First Name:GEORGEANA
Middle Name:CHINOYELUM
Last Name:OKORO
Suffix:
Gender:F
Credentials:RN, MSN, APN APPLICA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-1605
Mailing Address - Country:US
Mailing Address - Phone:973-275-6360
Mailing Address - Fax:
Practice Address - Street 1:41 HILLCREST RD
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-1605
Practice Address - Country:US
Practice Address - Phone:973-275-6360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJN111308163W00000X
NJN11308163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse