Provider Demographics
NPI:1568205474
Name:OKEMWA, SARAH NYOKABI
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NYOKABI
Last Name:OKEMWA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 KAY CIR
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-6649
Mailing Address - Country:US
Mailing Address - Phone:515-269-9970
Mailing Address - Fax:
Practice Address - Street 1:1142 KAY CIR
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-6649
Practice Address - Country:US
Practice Address - Phone:515-269-9970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95173697163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse