Provider Demographics
NPI:1831623578
Name:NWOKEAFOR, CATHERINE
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:NWOKEAFOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15601 HUMBERSIDE WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-8050
Mailing Address - Country:US
Mailing Address - Phone:240-604-7105
Mailing Address - Fax:
Practice Address - Street 1:15601 HUMBERSIDE WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-8050
Practice Address - Country:US
Practice Address - Phone:240-604-7105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR118190363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health