Dr. Evangeline Uju Okechukwu, CRNP-PMH
Nurse Practitioner, Psych/Mental Health in Cockeysville, MD. Individual provider (NPI-1).
NPI number1972200624
StatusActive
Last updated in NPPESOct 7, 2023
Details
- NPI
- 1972200624
- Entity type
- Individual (NPI-1)
- Name
- Dr. Evangeline Uju Okechukwu
- Credential
- CRNP-PMH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2023
- Certification date
- Oct 7, 2023
- Last updated
- Oct 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | R146100 | MD | Yes |
Other names
- Evangeline Uju Ohanagorom (Other Name)
Practice location
111 Warren Rd Ste 10aCockeysville, MD 21030-2452
Phone 443-345-0356
Mailing address
111 Warren Rd Ste 10aCockeysville, MD 21030-2452
Phone 443-345-0356
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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