Healthcare Provider Details

I. General information

NPI: 1851114912
Provider Name (Legal Business Name): VERONICA OKOROAFOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 11/06/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 N HIGH SCHOOL RD STE B
INDIANAPOLIS IN
46214-3695
US

IV. Provider business mailing address

602 N HIGH SCHOOL RD STE B
INDIANAPOLIS IN
46214-3695
US

V. Phone/Fax

Practice location:
  • Phone: 317-291-1211
  • Fax:
Mailing address:
  • Phone: 317-291-1211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71016003A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: