Provider Demographics
NPI:1154091767
Name:NWOKORIE, UGONMA P (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:UGONMA
Middle Name:P
Last Name:NWOKORIE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 GOLF COURSE DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2326
Mailing Address - Country:US
Mailing Address - Phone:301-728-8331
Mailing Address - Fax:
Practice Address - Street 1:1211 GOLF COURSE DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2326
Practice Address - Country:US
Practice Address - Phone:301-728-8331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR184954163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult