Provider Demographics
NPI:1770035909
Name:OKOCHE, REBECCA E (FNP-BC, APRN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:E
Last Name:OKOCHE
Suffix:
Gender:F
Credentials:FNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18203 PALISADE ROCK CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-5005
Mailing Address - Country:US
Mailing Address - Phone:713-448-6437
Mailing Address - Fax:
Practice Address - Street 1:18203 PALISADE ROCK CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-5005
Practice Address - Country:US
Practice Address - Phone:713-448-6437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-04
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX645370163W00000X
TXAP141299363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse