Provider Demographics
NPI:1558808089
Name:OKAFOR, ANIECHETA ALOCHUKWU JR (RN)
Entity Type:Individual
Prefix:MR
First Name:ANIECHETA
Middle Name:ALOCHUKWU
Last Name:OKAFOR
Suffix:JR
Gender:M
Credentials:RN
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Mailing Address - Street 1:410 W 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1240
Mailing Address - Country:US
Mailing Address - Phone:614-293-8457
Mailing Address - Fax:614-293-8153
Practice Address - Street 1:410 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-293-8457
Practice Address - Fax:614-293-8153
Is Sole Proprietor?:No
Enumeration Date:2017-01-23
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRNCRNA019513367500000X
OHRN.407700163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered