Provider Demographics
NPI:1770848939
Name:OKORIE-ANOCHIE, VICTORIA CHINAGOROM (CRNP)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:CHINAGOROM
Last Name:OKORIE-ANOCHIE
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 1:31 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2445
Mailing Address - Country:US
Mailing Address - Phone:443-543-8432
Mailing Address - Fax:443-583-5902
Practice Address - Street 1:31 HOWARD ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2445
Practice Address - Country:US
Practice Address - Phone:443-543-8432
Practice Address - Fax:443-583-5902
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR173272363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner