Provider Demographics
NPI:1437035839
Name:OKEKE, UCHE VENESSA
Entity type:Individual
Prefix:
First Name:UCHE
Middle Name:VENESSA
Last Name:OKEKE
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 1:10097 BRIDGEWATER BAY
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55129-8577
Mailing Address - Country:US
Mailing Address - Phone:651-208-1800
Mailing Address - Fax:
Practice Address - Street 1:10097 BRIDGEWATER BAY
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55129-8577
Practice Address - Country:US
Practice Address - Phone:651-208-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12733363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner