Provider Demographics
NPI:1518629070
Name:OKERO, MIRIAM R (NP)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:R
Last Name:OKERO
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 SALEM ST
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-1288
Mailing Address - Country:US
Mailing Address - Phone:448-204-7037
Mailing Address - Fax:401-780-2565
Practice Address - Street 1:500 SALEM ST
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-1288
Practice Address - Country:US
Practice Address - Phone:844-204-7037
Practice Address - Fax:401-560-2565
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN02872363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily