Provider Demographics
NPI:1720385271
Name:OKOROAFOR, PATIENCE CHIEDZA (RN)
Entity Type:Individual
Prefix:
First Name:PATIENCE
Middle Name:CHIEDZA
Last Name:OKOROAFOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:PATIENCE
Other - Middle Name:CHIEDZA
Other - Last Name:CHABIKWA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OKOROAFOR
Mailing Address - Street 1:98 CRYSTAL PETAL DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-7175
Mailing Address - Country:US
Mailing Address - Phone:614-353-0787
Mailing Address - Fax:
Practice Address - Street 1:98 CRYSTAL PETAL DR
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-7175
Practice Address - Country:US
Practice Address - Phone:614-353-0787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH354144163W00000X, 163WC1500X
OHAPRN.CNP.0032338363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health