Provider Demographics
NPI:1285353557
Name:OLEJEMEH, CHRISTIE (BSN, MS, RN, PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:
Last Name:OLEJEMEH
Suffix:
Gender:F
Credentials:BSN, MS, RN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 DEER GLEN CT
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2070
Mailing Address - Country:US
Mailing Address - Phone:443-996-3455
Mailing Address - Fax:
Practice Address - Street 1:8 DEER GLEN CT
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2070
Practice Address - Country:US
Practice Address - Phone:443-996-3455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1035922163WC1500X
171M00000X, 174H00000X
MDRN177412163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No174H00000XOther Service ProvidersHealth Educator