Provider Demographics
NPI:1558603506
Name:OKOYE, MICHAEL A (NP)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:OKOYE
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1614 MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3959
Mailing Address - Country:US
Mailing Address - Phone:202-365-5466
Mailing Address - Fax:866-546-4305
Practice Address - Street 1:1614 MICHAEL DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-3959
Practice Address - Country:US
Practice Address - Phone:202-365-5466
Practice Address - Fax:866-546-4305
Is Sole Proprietor?:No
Enumeration Date:2013-03-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012899363LA2200X
MARNTEMP17124363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health