Individual
CORDELIA C OKWUOSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3408 S ATLANTIC AVE # 1012, DAYTONA BEACH, FL 32118-6311
(386) 227-7580
(619) 367-0419
Mailing address
3408 S ATLANTIC AVE # 1012, DAYTONA BEACH SHORES, FL 32118-6311
(386) 227-7580
(619) 367-0419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19862
CA
363LF0000X
Family Nurse Practitioner
APRN11000816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578867966
NPI
CA
Enumeration date
12/29/2010
Last updated
10/04/2024
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