Healthcare Provider Details

I. General information

NPI: 1598350621
Provider Name (Legal Business Name): NONYE OKOYE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 BRADBURY RD
OWINGS MILLS MD
21117-3810
US

IV. Provider business mailing address

6 BRADBURY RD
OWINGS MILLS MD
21117-3810
US

V. Phone/Fax

Practice location:
  • Phone: 410-900-9587
  • Fax:
Mailing address:
  • Phone: 410-900-9587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: