Provider Demographics
NPI:1669656773
Name:OBOITE, JOAN (APRN)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:OBOITE
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:CHINYERE
Other - Last Name:UKEOMAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14510 DEW DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3093
Mailing Address - Country:US
Mailing Address - Phone:301-249-0848
Mailing Address - Fax:
Practice Address - Street 1:7525 GREENWAY CENTER DR STE 204
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3525
Practice Address - Country:US
Practice Address - Phone:240-542-4810
Practice Address - Fax:240-254-3558
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR115822363LF0000X
DCRN52599363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily