Provider Demographics
NPI:1366938987
Name:OPARAJI, PATIENCE (NP)
Entity type:Individual
Prefix:MRS
First Name:PATIENCE
Middle Name:
Last Name:OPARAJI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 MEMORIAL HWY STE 2-1
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5640
Mailing Address - Country:US
Mailing Address - Phone:914-235-7530
Mailing Address - Fax:914-235-8470
Practice Address - Street 1:175 MEMORIAL HWY STE 2-1
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5640
Practice Address - Country:US
Practice Address - Phone:914-235-7530
Practice Address - Fax:914-235-8470
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9946664363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care