Provider Demographics
NPI:1053797068
Name:ADEJOH, RACHEL OCHONIA (CRNP-FAMILY)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:OCHONIA
Last Name:ADEJOH
Suffix:
Gender:F
Credentials:CRNP-FAMILY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 PINK AZALEA CT
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1165
Mailing Address - Country:US
Mailing Address - Phone:443-797-7582
Mailing Address - Fax:
Practice Address - Street 1:821 N EUTAW ST STE 308
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-6303
Practice Address - Country:US
Practice Address - Phone:410-383-2072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR152589363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily