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NPI Code Detail

MEDICARE: OGECHI VIVIAN NWEKE

MEDICARE: OGECHI VIVIAN NWEKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide
2172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1558620005
Entity Type Code : Individual
Provider Name (Legal Business Name) : OGECHI VIVIAN NWEKE
Provider Business Mailing Address
First Line : 4426 68TH PL APT B6
Second Line :
City : LANDOVER HILLS
State : MD
Zip : 20784-2017
Country : US
Telephone Number : 240-696-9995
Fax Number :
Provider Business Practice Location Address
First Line : 4017 MINNESOTA AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3541
Country : US
Telephone Number : 202-388-9202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2012
Last Update Date : 03/21/2023

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Directions to “ OGECHI VIVIAN NWEKE ” Practice Location

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