MEDICARE: OKECHUKWU CYRIL AKUNWAFOR PMHNP

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
1	163W00000X	Registered Nurse	RN1038274	DC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R216269	MD

General Provider Information

NPI Number	:	1780365650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OKECHUKWU CYRIL AKUNWAFOR PMHNP

Provider Business Mailing Address
First Line	:	3511 ETON DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-6800
Country	:	US
Telephone Number	:	240-525-7776
Fax Number	:

Provider Business Practice Location Address
First Line	:	3511 ETON DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-6800
Country	:	US
Telephone Number	:	301-442-8846
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2023
Last Update Date	:	02/27/2026

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