Provider Demographics
NPI:1508111386
Name:OKERE, THELMA UKACHI (RN)
Entity Type:Individual
Prefix:
First Name:THELMA
Middle Name:UKACHI
Last Name:OKERE
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 1:119 MIKE GARTRELL CIR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1704
Mailing Address - Country:US
Mailing Address - Phone:916-910-3733
Mailing Address - Fax:
Practice Address - Street 1:119 MIKE GARTRELL CIR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-1704
Practice Address - Country:US
Practice Address - Phone:916-910-3733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA810946163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse