Individual provider · Type 1 NPI
Keyamo M. Omokuru, DNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · San Antonio, TX
NPI number
1295066694
Active
Practice location
928 W Commerce St
San Antonio, TX 78207-4444
Fax (210) 434-0716
Mailing address
6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Other practice locations
- 7563 Black Squirrel Trl, Hamilton, OH 45011-7613 · (513) 807-7507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 19805 (OH) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP141260 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1295066694
Keyamo M. Omokuru, DNP, PMHNP-BC's National Provider Identifier is 1295066694, issued on Jan 25, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Antonio, TX. The record was last updated on May 2, 2019.