Provider Demographics
NPI:1407460421
Name:OKEH, NKECHI (R166043)
Entity Type:Individual
Prefix:
First Name:NKECHI
Middle Name:
Last Name:OKEH
Suffix:
Gender:F
Credentials:R166043
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9603 GLENKIRK WAY
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2998
Mailing Address - Country:US
Mailing Address - Phone:301-792-6478
Mailing Address - Fax:
Practice Address - Street 1:9603 GLENKIRK WAY
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2998
Practice Address - Country:US
Practice Address - Phone:301-792-6478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR166043363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care