Provider Demographics
NPI:1851987432
Name:OKORIE, PATRICIA NGOZI (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:NGOZI
Last Name:OKORIE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 HILTON AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-3525
Mailing Address - Country:US
Mailing Address - Phone:201-704-8661
Mailing Address - Fax:
Practice Address - Street 1:253 HILTON AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-3525
Practice Address - Country:US
Practice Address - Phone:201-704-8661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR18159800163WE0003X
NJ26NJ01105300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency