MRS. KODILIM ANNE MUKOSO OKEBALAMA FNP-C
NPI 1700257441
Nurse Practitioner - Family in Quincy, MA
Active since October 07, 2015
About Mrs. Kodilim Anne Mukoso Okebalama Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KODILIM ANNE MUKOSO OKEBALAMA FNP-C (NPI 1700257441) is an individual family provider in Quincy, Massachusetts, licensed in Massachusetts (RN2291065) and active in the NPI registry since October 2015.
NPPES Registry Identity
NPI1700257441
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KODILIM ANNE MUKOSO OKEBALAMACredential: FNP-C
Location Address626 SOUTHERN ARTERY, MINUTECLINICQuincy, MA 02169-5648
Mailing Address77 Presidential Dr, #2Quincy, MA 02169-8847 · (781) 308-8028
Phone(866) 389-2727
Sole ProprietorYes
Enumeration DateOctober 7, 2015
✔ NPI 1700257441 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2291065
626 SOUTHERN ARTERY, Quincy, MA 02169
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Family)
626 SOUTHERN ARTERY, #1713
QUINCY, MA 02169
QUINCY, MA 02169
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700257441, enumerated as an "individual" on October 07, 2015.
The provider is located at 626 SOUTHERN ARTERY MINUTECLINIC QUINCY, MA 02169 and the phone number is (866) 389-2727.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
