MEDICARE: DR. AZUKA MARIE OKAFO CNM, PMHNP-BC, DNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	82932	NM
2	367A00000X	Advanced Practice Midwife	226892	AZ
3	367A00000X	Advanced Practice Midwife	000262	CT
4	367A00000X	Advanced Practice Midwife	R179058	MD
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	226892	AZ

General Provider Information

NPI Number	:	1811090996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AZUKA MARIE OKAFO CNM, PMHNP-BC, DNP

Provider Business Mailing Address
First Line	:	3104 E CAMELBACK RD # 2414
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4502
Country	:	US
Telephone Number	:	928-504-4700
Fax Number	:

Provider Business Practice Location Address
First Line	:	6232 N 7TH ST STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-1850
Country	:	US
Telephone Number	:	928-504-4700
Fax Number	:

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

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	08/01/2025

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