Individual
MRS. HENRIETTA OBY OKPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
3005 CHURCH AVE STE E, BROOKLYN, NY 11226-4209
(347) 627-6100
(718) 228-9641
Mailing address
10536 AVENUE K, BROOKLYN, NY 11236-3018
(718) 763-9323
(718) 763-6082
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05143811
—
NY
Enumeration date
08/20/2005
Last updated
07/16/2020
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