Healthcare Provider Details

I. General information

NPI: 1154914869
Provider Name (Legal Business Name): CORDILIA N NJOKU FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2021
Last Update Date: 09/11/2025
Certification Date: 07/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6314 WINDSOR MILL RD STE 100
BALTIMORE MD
21207-6078
US

IV. Provider business mailing address

2006 STILLWATER RD
ELDERSBURG MD
21784-6633
US

V. Phone/Fax

Practice location:
  • Phone: 410-725-5643
  • Fax: 945-200-5457
Mailing address:
  • Phone: 443-629-1704
  • Fax: 945-200-5457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR210275
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: