Provider Demographics
NPI:1902963341
Name:FLOYD-OKANLAWON, BETTE ANNE (RN)
Entity Type:Individual
Prefix:MS
First Name:BETTE
Middle Name:ANNE
Last Name:FLOYD-OKANLAWON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:678 N WILSON WAY STE 25
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95205-4267
Practice Address - Country:US
Practice Address - Phone:209-466-2081
Practice Address - Fax:209-466-2083
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA271811163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse