IKECHUKWU OKECHUKWU


Address: 1300 University Ave W, Saint Paul, MN 55104-4103
Phone: 6514429639

IKECHUKWU OKECHUKWU (NPI# 1649786138) 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) 1649786138
Entity Type Individual
Full Name IKECHUKWU OKECHUKWU
Practice Address 1300 University Ave W
Saint Paul
MN 55104-4103
Mailing Address 1497 10th St Nw Apt 306
New Brighton
MN 55112-6715
Practice Telephone 6514429639
Enumeration Date 2017-12-19
Last Update Date 2017-12-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
5598 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1300 UNIVERSITY AVE W
City SAINT PAUL
State MN
Zip Code 55104-4103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962424648 Grand St Paul Cvs LLC Pharmacy 1300 University Ave W, Saint Paul, MN 55104-4103 2006-07-24
1356719918 Jeena Lee Pharmacist 1300 University Ave W, Saint Paul, MN 55104-4103 2015-09-11
1861881625 Stephanie Marie Weinberger Psychiatry & Neurology 1300 University Ave W, Saint Paul, MN 55104-4103 2015-01-16
1447648506 Target Clinic Nurse Practitioner 1300 University Ave W, Saint Paul, MN 55104-4103 2014-12-24
1124436464 David Andrew Spande Optometrist 1300 University Ave W, Optical Clinic, Saint Paul, MN 55104-4103 2014-07-31
1245659903 Tara Marie Olson Nurse Practitioner 1300 University Ave W, Saint Paul, MN 55104-4103 2014-04-09
1497027825 Nicholas Maddux Pharmacist 1300 University Ave W, Saint Paul, MN 55104-4103 2012-02-01
1760779649 Trenton William Srstka Pharmacist 1300 University Ave W, Saint Paul, MN 55104-4103 2011-06-29
1336434794 Tara Jean Tindall Pharmacist 1300 University Ave W, Saint Paul, MN 55104-4103 2011-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891339131 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 2019-10-30
1629541644 Michael P Cain Counselor 1821 University Ave West, Suite N385, St. Paul, MN 55104 2019-01-03
1295219657 Awaken Recovery Center L.l.c Counselor 400 Suite D 393 North Dunlap, St Paul, MN 55104 2018-09-21
1285115634 American Current Care of Minnesota PC Clinic/Center 570 Asbury St Ste 101, Saint Paul, MN 55104 2018-08-23
1699262501 B & M Vital Homecare LLC. Home Health 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 2018-04-16
1134621600 Lauren Fullerton Counselor 1821 University Ave W., Suite N385, St. Paul, MN 55104 2018-03-01
1265944672 Megan Manning Marriage & Family Therapist 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 2017-10-26
1801305131 Foncham Buma Foncham Registered Nurse 856 University Avenue, W, St. Paul, MN 55104 2017-09-29
1750802476 Ha Vo Counselor 451 Lexington Parkway North, St. Paul, MN 55104 2017-07-03
1952831026 Noble Senior Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1094 University Ave W, Saint Paul, MN 55104 2017-06-12
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013535426 Chesley Stanley Nurse Practitioner 3113 Fletcher Dr, Saint Paul, VA 24283-3763 2020-07-13
1568002160 Amazing Grace Health Nurse Practitioner 625 Snelling Ave N Ste A, Saint Paul, MN 55104-5585 2020-01-10
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1710403118 Liv-on Family Care Center, Pa Nurse Practitioner 1210 County Road J Ste 102, Saint Paul, MN 55127-6826 2017-08-17
1225588668 Katie-anne Swenson Nurse Practitioner 2550 University Ave W Ste 325s, Saint Paul, MN 55114-1903 2016-10-10
1619329133 Lamin Jaiteh Nurse Practitioner 2550 University Ave W Ste 325-s, Saint Paul, MN 55114-1052 2016-07-08
1457746281 Florence Fon Nurse Practitioner 5 County Road B E Ste 3, Saint Paul, MN 55117-1945 2015-03-30
1639576994 Angela Denise Lentz Nurse Practitioner 178 9th St E Ste 300, Saint Paul, MN 55101-2577 2014-12-01
1548506405 Mandi Sue Counters Nurse Practitioner 14635 Pennock Ave Ste 200, Saint Paul, MN 55124-6587 2012-12-21
1528315470 Amanda Jeanne Carroll Nurse Practitioner 1358 Kent St, Saint Paul, MN 55117-4226 2012-08-09
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Competitor

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City SAINT PAUL
Zip Code 55104

Improve Information

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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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