Provider Demographics
NPI:1235897505
Name:OPUS DEI HEALTH SERVICES
Entity Type:Organization
Organization Name:OPUS DEI HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:BERNARDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKPALA
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, CRNP
Authorized Official - Phone:240-583-7493
Mailing Address - Street 1:5412 RICHARDSONS ENDEAVOR DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3395
Mailing Address - Country:US
Mailing Address - Phone:240-583-7493
Mailing Address - Fax:828-373-0552
Practice Address - Street 1:5412 RICHARDSONS ENDEAVOR DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3395
Practice Address - Country:US
Practice Address - Phone:240-583-7493
Practice Address - Fax:828-373-0552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty