# DR. ALPHONSA OKIBEDI-AHANOTU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649452673
- **Gender:** F
- **Credential:** DNP, MN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WM0705X | Medical-Surgical Registered Nurse | 200542264RN | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 200750099NP-PP | OR | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN234013 | GA | — |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 02/27/2019