Individual
AGNES CHINYERE OKORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
920 2ND AVE S, STE 400, MINNEAPOLIS, MN 55402-3318
(612) 225-1512
Mailing address
9002 PEACH STONE CT, RICHMOND, TX 77407-5095
(281) 762-2124
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
603924
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178723602
—
TX
01
—
8Y1576
BCBS
TX
Enumeration date
02/28/2006
Last updated
01/15/2009
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