Provider Demographics
NPI:1053020644
Name:ONYEKWELI, FELICITAS (NP)
Entity type:Individual
Prefix:
First Name:FELICITAS
Middle Name:
Last Name:ONYEKWELI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7313 HANOVER PKWY
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2034
Mailing Address - Country:US
Mailing Address - Phone:301-477-2643
Mailing Address - Fax:301-498-7436
Practice Address - Street 1:7313 HANOVER PKWY
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2034
Practice Address - Country:US
Practice Address - Phone:301-477-2643
Practice Address - Fax:301-498-7436
Is Sole Proprietor?:No
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR147509363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE