Individual provider · Type 1 NPI

Oghenero Lucky Olomukoro, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Alton, IL

NPI number 1437899689 Active

Practice location

4 Memorial Dr Ste 210
Alton, IL 62002-6704

Fax (618) 465-5499

Other practice locations

  • 13675 Evergreen Glen Dr, St. Louis, MO 63128-4273 · (410) 574-4955

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209025704 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

17 other providers at this address

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About NPI 1437899689

Oghenero Lucky Olomukoro, PMHNP-BC's National Provider Identifier is 1437899689, issued on Mar 29, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Alton, IL. The record was last updated on Oct 12, 2022.