Provider Demographics
NPI:1518531805
Name:NNAKWE, OGOCHUKWU VERA (CRNP)
Entity Type:Individual
Prefix:
First Name:OGOCHUKWU
Middle Name:VERA
Last Name:NNAKWE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WHITTON CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-1552
Mailing Address - Country:US
Mailing Address - Phone:410-522-8111
Mailing Address - Fax:
Practice Address - Street 1:18 WHITTON CT
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-1552
Practice Address - Country:US
Practice Address - Phone:410-522-8111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR217996363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care