Provider Demographics
NPI:1013438043
Name:OKEREKE, NGOZI MARIAN
Entity Type:Individual
Prefix:
First Name:NGOZI
Middle Name:MARIAN
Last Name:OKEREKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NGOZI
Other - Middle Name:MARIAN
Other - Last Name:OKEREKE
Other - Suffix:SR
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1707 L ST NW STE 900
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-4208
Mailing Address - Country:US
Mailing Address - Phone:202-829-9192
Mailing Address - Fax:202-829-9192
Practice Address - Street 1:1707 L STREET NW
Practice Address - Street 2:SUITE 900
Practice Address - City:D.C
Practice Address - State:MD
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-829-9192
Practice Address - Fax:202-829-9192
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide