Healthcare Provider Details

I. General information

NPI: 1023345873
Provider Name (Legal Business Name): DEBORAH EKIGHALO OKONOFUA FNP, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEBORAH EKIGHALO OKONOFUA FNP

II. Dates (important events)

Enumeration Date: 11/13/2009
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1647 BENNING RD NE STE 304
WASHINGTON DC
20002-4588
US

IV. Provider business mailing address

2917 MARLOW RD
SILVER SPRING MD
20904-7126
US

V. Phone/Fax

Practice location:
  • Phone: 202-269-6600
  • Fax: 202-621-9564
Mailing address:
  • Phone: 202-269-6600
  • Fax: 202-621-9564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN1003033
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1003033
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: