MRS. ANTHONIA EJIMOLE OKEANI FNP NPI 1629229745

NPI Information

NPI: 1629229745
Provider Name: MRS. ANTHONIA EJIMOLE OKEANI, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF SAN DIEGO INC

PECOS Registration: Yes

Address:
125 W F ST STE 103
ONTARIO, CA
ZIP 91762
Phone: (909) 391-3222
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MRS. Anthonia Ejimole Okeani, FNP is a family nurse practitioner in Ontario, CA with 18 years of experience. MRS. Anthonia Ejimole Okeani, FNP NPI is 1629229745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

125 W F ST STE 103
ONTARIO, CA
ZIP 91762-262
Phone: (909) 391-3222
Fax: (909) 391-3288

The NPI 1629229745 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 10/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	472574	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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