Provider Demographics
NPI:1689997827
Name:OKUESI, FAITH OKUKWE (WHNP)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:OKUKWE
Last Name:OKUESI
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 MADISON AVE
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1600
Mailing Address - Country:US
Mailing Address - Phone:212-545-2400
Mailing Address - Fax:646-312-0481
Practice Address - Street 1:1167 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-5417
Practice Address - Country:US
Practice Address - Phone:718-778-0198
Practice Address - Fax:718-221-8169
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY619566-1163W00000X
NYF421256-1363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
WI331978Medicare Oscar/Certification
NY00695941Medicaid
WI331058Medicare Oscar/Certification
WI331944Medicare Oscar/Certification
WI331009Medicare Oscar/Certification
NYW6L111Medicare Oscar/Certification
WI331947Medicare Oscar/Certification
WI331043Medicare Oscar/Certification
WI331946Medicare Oscar/Certification
WI331952Medicare Oscar/Certification
WI331954Medicare Oscar/Certification
WIG100000410Medicare Oscar/Certification
WI331945Medicare Oscar/Certification