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NPI Code Detail

MEDICARE: MS. ERONMWON YVONNE OKONJO CRNP

MEDICARE: MS. ERONMWON YVONNE OKONJO CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerR161926MD

General Provider Information

NPI Number : 1447551072
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERONMWON YVONNE OKONJO CRNP
Provider Business Mailing Address
First Line : 3720 WASHINGTON BLVD STE 100
Second Line :
City : ARBUTUS
State : MD
Zip : 21227-1660
Country : US
Telephone Number : 410-646-0001
Fax Number : 410-646-1600
Provider Business Practice Location Address
First Line : 12530 FAIRWOOD PKWY STE 102
Second Line :
City : BOWIE
State : MD
Zip : 20720-6357
Country : US
Telephone Number : 301-728-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2010
Last Update Date : 06/23/2025

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