Provider Demographics
NPI:1982052098
Name:OGBUOKIRI, EVA (NP)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:OGBUOKIRI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 KENILWORTH AVE STE 300-S2
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1331
Mailing Address - Country:US
Mailing Address - Phone:410-629-5082
Mailing Address - Fax:410-888-7330
Practice Address - Street 1:6801 KENILWORTH AVE STE 300-S2
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1331
Practice Address - Country:US
Practice Address - Phone:410-629-5082
Practice Address - Fax:410-888-7330
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN CNP 020091363LP0808X
MDR190022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health