Healthcare Provider Details

I. General information

NPI: 1720385271
Provider Name (Legal Business Name): PATIENCE CHIEDZA OKOROAFOR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PATIENCE CHIEDZA CHABIKWA OKOROAFOR

II. Dates (important events)

Enumeration Date: 02/18/2011
Last Update Date: 12/08/2022
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 CRYSTAL PETAL DR
DELAWARE OH
43015-7175
US

IV. Provider business mailing address

98 CRYSTAL PETAL DR
DELAWARE OH
43015-7175
US

V. Phone/Fax

Practice location:
  • Phone: 614-353-0787
  • Fax:
Mailing address:
  • Phone: 614-353-0787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number354144
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number354144
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0032338
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: