Individual
DEIDRE OPOKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNP, PMHNP-BC
Contact information
Practice address
7664 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8158
(614) 710-0173
(614) 987-4032
Mailing address
7664 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8158
(614) 710-0173
(614) 987-4032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
303997
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0029532
OH
Other
Enumeration date
10/26/2011
Last updated
01/01/2024
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