Provider Demographics
NPI:1790019644
Name:OKORO, CHINENYE (DNP, APN)
Entity Type:Individual
Prefix:
First Name:CHINENYE
Middle Name:
Last Name:OKORO
Suffix:
Gender:F
Credentials:DNP, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 VICTOR AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-3706
Mailing Address - Country:US
Mailing Address - Phone:718-325-4669
Mailing Address - Fax:
Practice Address - Street 1:1220 VICTOR AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3706
Practice Address - Country:US
Practice Address - Phone:718-325-4669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY336073363LF0000X
NJ26NJ00257300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily