Look up the most recent NPI and PECOS records

Joan Ife Udejiofor

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2240 M St NW, Washington, DC 20037-1415

PECOS Enrollment

This provider is enrolled in PECOS as JOAN UDEJIOFOR.

Based on the most recent information from CMS, provider Joan Ife Udejiofor is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1386127942
Provider Type
Individual
Full Name
Udejiofor, Joan Ife
Title
Mrs.
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/10/2018
Last Updated
3/4/2021

Contact Information

Practice Location

2240 M St NW, Washington, DC 20037-1415

(202) 296-9877

Unlisted Fax

Mailing Location

13205 Global St, Bowie, MD 20720-3856

(443) 545-9777

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F08180305 Maryland

Joan Ife Udejiofor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Patel, Rinali K

Aghdam, Layla

Wimer, Wendy C

Matos, Samantha

Weidinger, Nicole Marie

Gorantla, Surekha

Zhang, Lei

Shorter, Tamika Camilia

Haileselassie, Makeda Domoz

Spector, Sarah Emily