MEDICARE: MABEL EFUA OKOH OKAI FNP

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	363LF0000X	Family Nurse Practitioner	0032177	OH
2	207Q00000X	Family Medicine Physician	0032177	OH

General Provider Information

NPI Number	:	1477274074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MABEL EFUA OKOH OKAI FNP

Provider Business Mailing Address
First Line	:	453 SMILEY AVE
Second Line	:
City	:	SPRINGDALE
State	:	OH
Zip	:	45246-2217
Country	:	US
Telephone Number	:	513-628-6285
Fax Number	:	513-928-7689

Provider Business Practice Location Address
First Line	:	1102 W KEMPER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-1764
Country	:	US
Telephone Number	:	513-429-3289
Fax Number	:	513-928-7689

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2022
Last Update Date	:	05/22/2026

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