Healthcare Provider Details

I. General information

NPI: 1477274074
Provider Name (Legal Business Name): MABEL EFUA OKOH OKAI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 W KEMPER RD
CINCINNATI OH
45240-1764
US

IV. Provider business mailing address

453 SMILEY AVE
SPRINGDALE OH
45246-2217
US

V. Phone/Fax

Practice location:
  • Phone: 513-429-3289
  • Fax: 513-928-7689
Mailing address:
  • Phone: 513-628-6285
  • Fax: 513-928-7689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0032177
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0032177
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: