Provider Demographics
NPI:1023325172
Name:OKORO, DANIEL D (DNP, APN)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:D
Last Name:OKORO
Suffix:
Gender:M
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 1:540 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7148
Mailing Address - Country:US
Mailing Address - Phone:908-355-5500
Mailing Address - Fax:908-355-5502
Practice Address - Street 1:540 NORTH AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-7148
Practice Address - Country:US
Practice Address - Phone:908-355-5500
Practice Address - Fax:908-355-5502
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY336474363LF0000X
NJ26NJ00355700363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health