Healthcare Provider Details

I. General information

NPI: 1982052098
Provider Name (Legal Business Name): EVA OGBUOKIRI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WOOD HILL RD
ROCKVILLE MD
20850-8724
US

IV. Provider business mailing address

6801 KENILWORTH AVE STE 300-S2
RIVERDALE MD
20737-1331
US

V. Phone/Fax

Practice location:
  • Phone: 240-800-5772
  • Fax: 301-610-8403
Mailing address:
  • Phone: 410-629-5082
  • Fax: 410-888-7330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR190022
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR190022
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN CNP 020091
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: