Provider Demographics
NPI:1568081016
Name:OSUCHUKWU, NOEL UCHE (RN)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:UCHE
Last Name:OSUCHUKWU
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:NOEL
Other - Middle Name:U
Other - Last Name:OSUCHUKWU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:9549 WESHURST LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2434
Mailing Address - Country:US
Mailing Address - Phone:202-669-5750
Mailing Address - Fax:
Practice Address - Street 1:901 1ST ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1403
Practice Address - Country:US
Practice Address - Phone:202-669-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1031903163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice