Provider Demographics
NPI:1710382627
Name:NWOKE, COMFORT
Entity Type:Individual
Prefix:
First Name:COMFORT
Middle Name:
Last Name:NWOKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7826 EASTERN AVE NW
Mailing Address - Street 2:400
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1324
Mailing Address - Country:US
Mailing Address - Phone:202-545-1630
Mailing Address - Fax:202-545-1645
Practice Address - Street 1:7826 EASTERN AVE NW
Practice Address - Street 2:400
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1324
Practice Address - Country:US
Practice Address - Phone:202-545-1630
Practice Address - Fax:202-545-1645
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No374U00000XNursing Service Related ProvidersHome Health Aide