MEDICARE: ROSEMARY OKOCHA

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	1175476	TX

General Provider Information

NPI Number	:	1619861127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARY OKOCHA

Provider Business Mailing Address
First Line	:	4724 BARN OWL TRL
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-1751
Country	:	US
Telephone Number	:	817-690-7439
Fax Number	:

Provider Business Practice Location Address
First Line	:	4927 LAKE RIDGE PKWY STE 140
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-3068
Country	:	US
Telephone Number	:	817-640-0771
Fax Number	:

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

Provider Enumeration Date	:	06/07/2025
Last Update Date	:	02/06/2026

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Directions to “ ROSEMARY OKOCHA ” Practice Location

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