MRS. KODILIM ANNE MUKOSO OKEBALAMA FNP-C NPI 1700257441

NPI Information

NPI: 1700257441
Provider Name: MRS. KODILIM ANNE MUKOSO OKEBALAMA, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
626 SOUTHERN ARTERY
MINUTECLINIC
QUINCY, MA
ZIP 02169
Phone: (866) 389-2727
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MRS. Kodilim Anne Mukoso Okebalama, FNP-C is a family nurse practitioner in Quincy, MA. MRS. Kodilim Anne Mukoso Okebalama, FNP-C NPI is 1700257441. 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:

626 SOUTHERN ARTERY
MINUTECLINIC
QUINCY, MA
ZIP 02169-648
Phone: (866) 389-2727

The enumeration date for this NPI number is 10/7/2015 and was last updated on 10/7/2015.

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	RN2291065	MASSACHUSETTS	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: 4/28/2024

NPI Synchronization or Removal

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