Provider Demographics
NPI:1477357002
Name:MOKAYA, JOAN K (RN)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:K
Last Name:MOKAYA
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11149 IDAHO CT N
Mailing Address - Street 2:
Mailing Address - City:CHAMPLIN
Mailing Address - State:MN
Mailing Address - Zip Code:55316-3324
Mailing Address - Country:US
Mailing Address - Phone:215-578-0853
Mailing Address - Fax:
Practice Address - Street 1:11149 IDAHO CT N
Practice Address - Street 2:
Practice Address - City:CHAMPLIN
Practice Address - State:MN
Practice Address - Zip Code:55316-3324
Practice Address - Country:US
Practice Address - Phone:215-578-0853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2476627163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health