Provider Demographics
NPI:1396306114
Name:ASOLUKA, NKECHINYERE (NP)
Entity type:Individual
Prefix:MRS
First Name:NKECHINYERE
Middle Name:
Last Name:ASOLUKA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:NKECHI
Other - Middle Name:
Other - Last Name:ASOLUKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:901 ELKRIDGE LANDING RD
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2920
Mailing Address - Country:US
Mailing Address - Phone:410-939-9300
Mailing Address - Fax:
Practice Address - Street 1:785 ELKRIDGE LANDING RD STE 300
Practice Address - Street 2:
Practice Address - City:LINTHICUM HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:21090-2958
Practice Address - Country:US
Practice Address - Phone:443-323-3014
Practice Address - Fax:855-212-5249
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR207246363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner