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NPI Code Detail

MEDICARE: MRS. BEATRICE OBIAGELI OKPALA RN, BSC OPTOMETRY

MEDICARE:  MRS. BEATRICE OBIAGELI OKPALA  RN, BSC OPTOMETRY
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
1163WH0200XHome Health Registered Nurse152741-030WI

General Provider Information

NPI Number : 1700074804
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BEATRICE OBIAGELI OKPALA RN, BSC OPTOMETRY
Provider Business Mailing Address
First Line : 1742 STONEHAVEN DR
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-8907
Country : US
Telephone Number : 608-834-6203
Fax Number :
Provider Business Practice Location Address
First Line : 1742 STONEHAVEN DR
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-8907
Country : US
Telephone Number : 608-834-6203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2007
Last Update Date : 10/15/2007

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Directions to “ MRS. BEATRICE OBIAGELI OKPALA RN, BSC OPTOMETRY” Practice Location

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