Provider Demographics
NPI:1518204247
Name:OKON, ESTHER NSIKAN
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:NSIKAN
Last Name:OKON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 30TH AVE N APT 3
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-1541
Mailing Address - Country:US
Mailing Address - Phone:256-520-9414
Mailing Address - Fax:
Practice Address - Street 1:402 30TH AVE N APT 3
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102-1541
Practice Address - Country:US
Practice Address - Phone:256-520-9414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR38520163W00000X
IA131471163W00000X
MN209771-0163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse