Provider Demographics
NPI:1801955661
Name:OKOROH, HOPE ESEOGHENE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:ESEOGHENE
Last Name:OKOROH
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:ESEOGHENE
Other - Last Name:OKOROH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:3925 WITTENBURG DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-1654
Mailing Address - Country:US
Mailing Address - Phone:917-940-2405
Mailing Address - Fax:
Practice Address - Street 1:124 BEACH 59TH ST
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-1872
Practice Address - Country:US
Practice Address - Phone:917-940-2405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY558715163W00000X
NYF341486363LF0000X
NYF403028363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily