Provider Demographics
NPI:1598207060
Name:OKOJIE, MICHAEL (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:OKOJIE
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 CHERRY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-3256
Mailing Address - Country:US
Mailing Address - Phone:443-985-6547
Mailing Address - Fax:
Practice Address - Street 1:210 CHERRY VALLEY RD
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-3256
Practice Address - Country:US
Practice Address - Phone:443-985-6547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-15
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR201291163W00000X, 363LF0000X
NY351730363LF0000X
NJ26NJ14860600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse