MRS. HENRIETTA OBY OKPALA


Address: 3005 Church Ave Ste E, Brooklyn, NY 11226-4209
Phone: 3476276100

MRS. HENRIETTA OBY OKPALA (NPI# 1164414512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164414512
Entity Type Individual
Full Name MRS. HENRIETTA OBY OKPALA
Other Name MRS. HENRIETTA OBY OKPALA
Credential DNP, PMHNP-BC
Practice Address 3005 Church Ave Ste E
Brooklyn
NY 11226-4209
Mailing Address 10536 Avenue K
Brooklyn
NY 11236-3018
Practice Telephone 3476276100
Practice Fax Number 7182289641
Mailing Telephone 7187639323
Mailing Fax Number 7187636082
Enumeration Date 2005-08-20
Last Update Date 2020-07-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F400707 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 05143811 05

Office Location

Street Address 3005 CHURCH AVE STE E
City BROOKLYN
State NY
Zip Code 11226-4209

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11226

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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