MEDICARE: MS. YVONNE NONYELUM OBIKE 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
1	363LF0000X	Family Nurse Practitioner	R208795	MD
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R208795	MD

General Provider Information

NPI Number	:	1972092740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YVONNE NONYELUM OBIKE CRNP

Provider Business Mailing Address
First Line	:	3534 LOWER MILL CT
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-4140
Country	:	US
Telephone Number	:	443-891-5399
Fax Number	:

Provider Business Practice Location Address
First Line	:	3534 LOWER MILL CT
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-4140
Country	:	US
Telephone Number	:	443-891-5399
Fax Number	:

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

Provider Enumeration Date	:	05/07/2018
Last Update Date	:	02/12/2026

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