Provider Demographics
NPI:1932702214
Name:OKERE, MAUREEN CHINYERE (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:CHINYERE
Last Name:OKERE
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1386 PERSHING RD
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-2515
Mailing Address - Country:US
Mailing Address - Phone:619-653-8988
Mailing Address - Fax:
Practice Address - Street 1:1386 PERSHING RD
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-2515
Practice Address - Country:US
Practice Address - Phone:619-653-8988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015611363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily