Provider Demographics
NPI:1639322092
Name:OKEKE, EVELYN U (REGISTER NURSE)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:U
Last Name:OKEKE
Suffix:
Gender:F
Credentials:REGISTER NURSE
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1780 STILLWELL AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-6409
Mailing Address - Country:US
Mailing Address - Phone:718-652-9790
Mailing Address - Fax:718-882-1429
Practice Address - Street 1:746 E 211TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-6025
Practice Address - Country:US
Practice Address - Phone:718-652-9790
Practice Address - Fax:718-882-1429
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY569267163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse