Healthcare Provider Details

I. General information

NPI: 1790050821
Provider Name (Legal Business Name): MERIAM O OKANI CRNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MERIAM O NWOSU CRNP, FNP-C

II. Dates (important events)

Enumeration Date: 03/22/2012
Last Update Date: 07/27/2024
Certification Date: 07/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 TILGHMAN RD
SALISBURY MD
21804-1921
US

IV. Provider business mailing address

264 TILGHMAN RD
SALISBURY MD
21804-1921
US

V. Phone/Fax

Practice location:
  • Phone: 410-742-7246
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR192394
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024181379
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR192394
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: