Individual
BERNADETTE OKONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1003 E COOLEY DR, COLTON, CA 92324-3948
(909) 452-4545
(909) 264-1862
Mailing address
15747 ROSEWOOD WAY, FONTANA, CA 92336-0728
(909) 452-4545
(909) 264-1862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95061465
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024084
CA
Other
Enumeration date
08/13/2015
Last updated
10/13/2023
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