Provider Demographics
NPI:1770820854
Name:IGWE, ORLEEN ALEXANDERINA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ORLEEN
Middle Name:ALEXANDERINA
Last Name:IGWE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PLATEAU RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21221-7030
Mailing Address - Country:US
Mailing Address - Phone:410-236-0073
Mailing Address - Fax:410-686-6013
Practice Address - Street 1:12 PLATEAU RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21221-7030
Practice Address - Country:US
Practice Address - Phone:410-236-0073
Practice Address - Fax:410-686-6013
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP39390164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse