Provider Demographics
NPI:1922369214
Name:OKORIE, CHIKA CHRISTIANA
Entity Type:Individual
Prefix:MRS
First Name:CHIKA
Middle Name:CHRISTIANA
Last Name:OKORIE
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 1:6600 LUZON AVE NW
Mailing Address - Street 2:#211
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-3022
Mailing Address - Country:US
Mailing Address - Phone:202-726-5355
Mailing Address - Fax:
Practice Address - Street 1:6600 LUZON AVE NW
Practice Address - Street 2:#211
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-3022
Practice Address - Country:US
Practice Address - Phone:202-726-5355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-03
Last Update Date:2012-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide