Provider Demographics
NPI:1982104725
Name:OKAFOR, CHRISTIANA NGOZI
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:NGOZI
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 COUNTRY HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-4038
Mailing Address - Country:US
Mailing Address - Phone:972-900-4022
Mailing Address - Fax:
Practice Address - Street 1:2305 COUNTRY HOLLOW LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-4038
Practice Address - Country:US
Practice Address - Phone:972-900-4022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX312304164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse