Healthcare Provider Details

I. General information

NPI: 1578371100
Provider Name (Legal Business Name): ESTHER G OWOOKADE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 03/04/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7805 ALLENTOWN RD
FORT WASHINGTON MD
20744-1742
US

IV. Provider business mailing address

9711 BUTTERFLY LN
SPRINGDALE MD
20774-2530
US

V. Phone/Fax

Practice location:
  • Phone: 240-455-2449
  • Fax:
Mailing address:
  • Phone: 240-455-2449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberR206015
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP206015
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: