Provider Demographics
NPI:1871397315
Name:OKORIE, ROSELINE OKWY
Entity type:Individual
Prefix:
First Name:ROSELINE
Middle Name:OKWY
Last Name:OKORIE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4207 KINMOUNT RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1951
Mailing Address - Country:US
Mailing Address - Phone:301-254-5764
Mailing Address - Fax:
Practice Address - Street 1:4207 KINMOUNT RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1951
Practice Address - Country:US
Practice Address - Phone:301-254-5764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide