Individual
CASSIDY J OKAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 434-6402
Mailing address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 434-6402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71013974A
IN
363LF0000X
Family Nurse Practitioner
28236484A
IN
363LF0000X
Family Nurse Practitioner
F11220441
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300078123
—
IN
Enumeration date
05/01/2023
Last updated
09/12/2023
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