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NPI Code Detail

MEDICARE: NKESI D ANYAFULU

MEDICARE: NKESI D ANYAFULU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide
2363LP0808XPsychiatric/Mental Health Nurse PractitionerNP1044915DC

General Provider Information

NPI Number : 1649531526
Entity Type Code : Individual
Provider Name (Legal Business Name) : NKESI D ANYAFULU
Provider Business Mailing Address
First Line : 5580 JAY ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-7027
Country : US
Telephone Number : 202-718-0227
Fax Number :
Provider Business Practice Location Address
First Line : 3341 BENNING RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-1502
Country : US
Telephone Number : 202-718-0227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2012
Last Update Date : 08/29/2024

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Directions to “ NKESI D ANYAFULU ” Practice Location

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