Healthcare Provider Details

I. General information

NPI: 1861182735
Provider Name (Legal Business Name): AMARACHI OKAFOR PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 N ELM ST STE 130
GREENSBORO NC
27455-2604
US

IV. Provider business mailing address

23134 BRADFORD GREEN SQ
CARY NC
27519-9220
US

V. Phone/Fax

Practice location:
  • Phone: 704-360-3637
  • Fax: 980-939-8769
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5018074
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: