Healthcare Provider Details

I. General information

NPI: 1306027941
Provider Name (Legal Business Name): OBIAGELI OKEKE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2007
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E LOMBARD ST STE 840
BALTIMORE MD
21202-3231
US

IV. Provider business mailing address

1208 OLEANDER WAY
ODENTON MD
21113-6064
US

V. Phone/Fax

Practice location:
  • Phone: 443-429-0523
  • Fax:
Mailing address:
  • Phone: 305-632-3387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR270003
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP2578842
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR270003
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: