Provider Demographics
NPI:1619792272
Name:OKORO, ROSE CHINENYE (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:CHINENYE
Last Name:OKORO
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MRS
Other - First Name:ROSE
Other - Middle Name:CHINENYE
Other - Last Name:OKORO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:168 CRUM CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WOODLYN
Mailing Address - State:PA
Mailing Address - Zip Code:19094-1907
Mailing Address - Country:US
Mailing Address - Phone:484-995-3354
Mailing Address - Fax:
Practice Address - Street 1:320 MACDADE BLVD
Practice Address - Street 2:
Practice Address - City:COLLINGDALE
Practice Address - State:PA
Practice Address - Zip Code:19023-1927
Practice Address - Country:US
Practice Address - Phone:610-522-4506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029806363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health