Healthcare Provider Details

I. General information

NPI: 1306856307
Provider Name (Legal Business Name): PATIENCE EKEOCHA CRNP, PHMNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 E LEXINGTON ST STE 200
BALTIMORE MD
21202-3520
US

IV. Provider business mailing address

218 E LEXINGTON ST STE 200
BALTIMORE MD
21202-3520
US

V. Phone/Fax

Practice location:
  • Phone: 410-852-9756
  • Fax: 410-275-0983
Mailing address:
  • Phone: 410-852-9756
  • Fax: 410-275-0983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR099378
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR099378
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR099378
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: