Individual provider · Type 1 NPI
Modupe Mary Okonofua, PMHNP-BC, FNP-C
Psychiatric/Mental Health Nurse Practitioner · Colorado Springs, CO
NPI number
1215325535
Active
Practice location
3585 Van Teylingen Dr Ste D
Colorado Springs, CO 80917-4872
Fax (719) 413-5006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0001591-C-NP (CO) |
| Family Nurse Practitioner | 363LF0000X | 0001591-C-NP (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1215325535
Modupe Mary Okonofua, PMHNP-BC, FNP-C's National Provider Identifier is 1215325535, issued on Jan 9, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 13, 2025.