Provider Demographics
NPI:1457911299
Name:NWADIKE, JOSEPHIE IJEOMA (HHA)
Entity Type:Individual
Prefix:MISS
First Name:JOSEPHIE
Middle Name:IJEOMA
Last Name:NWADIKE
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 BALDPATE CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7092
Mailing Address - Country:US
Mailing Address - Phone:240-556-8679
Mailing Address - Fax:
Practice Address - Street 1:1302 BALDPATE CT
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-7092
Practice Address - Country:US
Practice Address - Phone:240-556-8679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide