Doctor Name: | JOSEPHINE NWOKO |
NPI Number: | 1073860466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | GNP-BC |
License Number: | R174691 |
Business Practice Address: | 8601 Veterans Hwy Suite 211 Millersville, MD - 211081547 |
Business Phone Number: | 4105538092 |
Business Fax Number: | |
Mailing Address: | 8601 Veterans Hwy, Suite 211 MILLERSVILLE |
State: | MD |
Postal Code: | 211081547 |
Phone Number: | 4105538092 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2012 |
NPI Last Update Date: | 02/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | R174691 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |