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NPI Code Detail

MEDICARE: JULIANA NWAKAEGO OKORO RN

MEDICARE:   JULIANA NWAKAEGO OKORO  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse136669-1MN
2163WH0200XHome Health Registered Nurse136669-1MN

General Provider Information

NPI Number : 1356951644
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANA NWAKAEGO OKORO RN
Provider Business Mailing Address
First Line : 1401 SILVER LAKE RD NW STE 7
Second Line :
City : NEW BRIGHTON
State : MN
Zip : 55112-9307
Country : US
Telephone Number : 165-127-8992
Fax Number : 612-212-4891
Provider Business Practice Location Address
First Line : 1401 SILVER LAKE RD NW STE 7
Second Line :
City : NEW BRIGHTON
State : MN
Zip : 55112-9307
Country : US
Telephone Number : 165-127-8992
Fax Number : 612-212-4891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2020
Last Update Date : 08/03/2020

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Directions to “ JULIANA NWAKAEGO OKORO RN” Practice Location

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