Provider Demographics
NPI:1245523646
Name:OKOLI, ADANNA IHEDIMMA (LPN)
Entity type:Individual
Prefix:MRS
First Name:ADANNA
Middle Name:IHEDIMMA
Last Name:OKOLI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4395 R E SMITH DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-9223
Mailing Address - Country:US
Mailing Address - Phone:513-693-2183
Mailing Address - Fax:419-491-8550
Practice Address - Street 1:4395 R.E SMITH DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069
Practice Address - Country:US
Practice Address - Phone:513-693-2183
Practice Address - Fax:419-491-8550
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH144334164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse