Provider Demographics
NPI:1932685047
Name:OKOYE, ADAOMA NWAMAKA
Entity Type:Individual
Prefix:MRS
First Name:ADAOMA
Middle Name:NWAMAKA
Last Name:OKOYE
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 1:1502 BRIGHTSEAT RD APT 103
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3750
Mailing Address - Country:US
Mailing Address - Phone:240-470-2227
Mailing Address - Fax:
Practice Address - Street 1:1502 BRIGHTSEAT RD APT 103
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-3750
Practice Address - Country:US
Practice Address - Phone:240-470-2227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDHHA13653374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide