Provider Demographics
NPI:1427483031
Name:OKWOR, MARIA C (NP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:C
Last Name:OKWOR
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 1:2019 SUTTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1038
Mailing Address - Country:US
Mailing Address - Phone:609-977-6550
Mailing Address - Fax:
Practice Address - Street 1:1474 TANYARD ROAD
Practice Address - Street 2:SUITE C100
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080
Practice Address - Country:US
Practice Address - Phone:856-932-7476
Practice Address - Fax:856-566-6320
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00815100363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health