Provider Demographics
NPI:1255722187
Name:UKENYE, FLORENCE CHINWE (CRNP (NURSE PRACTITI)
Entity type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:CHINWE
Last Name:UKENYE
Suffix:
Gender:F
Credentials:CRNP (NURSE PRACTITI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 OLD BRANCH AVENUE
Mailing Address - Street 2:SUITE B205
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735
Mailing Address - Country:US
Mailing Address - Phone:301-877-4933
Mailing Address - Fax:
Practice Address - Street 1:7700 OLD BRANCH AVENUE
Practice Address - Street 2:SUITE B205
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735
Practice Address - Country:US
Practice Address - Phone:301-877-4933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR162287363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner