Healthcare Provider Details

I. General information

NPI: 1023780517
Provider Name (Legal Business Name): BELINDA OKORUWA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2021
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 N ROLLING RD STE 305
CATONSVILLE MD
21228-4142
US

IV. Provider business mailing address

9414 RYANS WAY
PERRY HALL MD
21128-9840
US

V. Phone/Fax

Practice location:
  • Phone: 667-465-2590
  • Fax: 443-569-7785
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR221215
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR221215
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: