Individual
ENOLA OKONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9785 VALLEY SPRINGS BLVD, FISHERS, IN 46037-8764
(317) 460-6691
Mailing address
9785 VALLEY SPRINGS BLVD, FISHERS, IN 46037-8764
(317) 460-6691
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
209545
NC
207P00000X
Emergency Medicine Physician
Primary
ME136421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100148600
—
FL
01
—
8AMA8
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/10/2015
Last updated
03/14/2023
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