Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Okoronkwo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1659995595

Paul Okoronkwo is a Nurse Practitioner in Glendale, Arizona. Qualified in 2020, 6 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

7075 W Bell Rd Ste A-1
Glendale, AZ 85308-8546
Phone: (602) 348-1338
Fax: (602) 297-6566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 241990 (AZ)

Record details

NPI number1659995595
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 6, 2020
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Glendale