Basic Information
| Provider Information | |||||||||
| NPI: | 1497178727 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OKOYE | ||||||||
| FirstName: | NGOZIKA | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16582 KENNEDY CIR | ||||||||
| Address2: | |||||||||
| City: | SHREWSBURY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 173611868 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7082185908 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1001 W PRATT ST | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212232679 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4434623400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2014 | ||||||||
| LastUpdateDate: | 12/20/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/20/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | R160735 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.