MEDICARE: CHINELO OKOLI NP

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
1	363LW0102X	Women's Health Nurse Practitioner	AP143521	TX

General Provider Information

NPI Number	:	1154931376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHINELO OKOLI NP

Provider Business Mailing Address
First Line	:	13601 PINNACLE CIR W APT 2202
Second Line	:
City	:	EULESS
State	:	TX
Zip	:	76040-7666
Country	:	US
Telephone Number	:	512-363-8885
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N CENTRAL EXPY STE 601
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-6771
Country	:	US
Telephone Number	:	972-424-6311
Fax Number	:

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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