Provider Demographics
NPI:1326342130
Name:NWOKORIE, UZOAMAKA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:UZOAMAKA
Middle Name:
Last Name:NWOKORIE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11002 VEIRS MILL ROAD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5922
Mailing Address - Country:US
Mailing Address - Phone:301-967-6173
Mailing Address - Fax:301-962-5733
Practice Address - Street 1:11002 VEIRS MILL ROAD
Practice Address - Street 2:SUITE 700
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5922
Practice Address - Country:US
Practice Address - Phone:301-967-6173
Practice Address - Fax:301-962-5733
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-07
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
MDC0004232363A00000X
MDC04232363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center