Provider Demographics
NPI:1659264430
Name:ONYEGWARA, OLUCHI DORIS
Entity type:Individual
Prefix:
First Name:OLUCHI
Middle Name:DORIS
Last Name:ONYEGWARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1643 HUGO CIR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5922
Mailing Address - Country:US
Mailing Address - Phone:240-462-3437
Mailing Address - Fax:291-246-5423
Practice Address - Street 1:1643 HUGO CIR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-5922
Practice Address - Country:US
Practice Address - Phone:240-462-3437
Practice Address - Fax:291-246-5423
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide