Provider Demographics
NPI:1205522968
Name:OKERE, EDNA CHIAMAKA (CNA)
Entity type:Individual
Prefix:
First Name:EDNA
Middle Name:CHIAMAKA
Last Name:OKERE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 BALTIMORE AVE # 424B
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2113
Mailing Address - Country:US
Mailing Address - Phone:443-678-3330
Mailing Address - Fax:
Practice Address - Street 1:8201 CORPORATE DR STE 700
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-2255
Practice Address - Country:US
Practice Address - Phone:202-635-5756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide