Provider Demographics
NPI:1982052098
Name:OGBUOKIRI, EVA (NP)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:OGBUOKIRI
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 KENILWORTH AVE STE 300-S2
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1331
Mailing Address - Country:US
Mailing Address - Phone:410-629-5082
Mailing Address - Fax:410-888-7330
Practice Address - Street 1:200 WOOD HILL RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-8724
Practice Address - Country:US
Practice Address - Phone:240-800-5772
Practice Address - Fax:301-468-1862
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR190022363LF0000X, 363LP0808X
OHAPRN CNP 020091363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily