Provider Demographics
NPI:1578059390
Name:OKAFOR, UCHE FIDELIA
Entity Type:Individual
Prefix:
First Name:UCHE
Middle Name:FIDELIA
Last Name:OKAFOR
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 1:10142 PIPPIN MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1877
Mailing Address - Country:US
Mailing Address - Phone:513-302-2130
Mailing Address - Fax:
Practice Address - Street 1:10142 PIPPIN MEADOWS DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1877
Practice Address - Country:US
Practice Address - Phone:513-302-2130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-04
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH442853163WP0809X
OHAPRN.CNP.0034031363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Single Specialty