Healthcare Provider Details

I. General information

NPI: 1558145417
Provider Name (Legal Business Name): ADAEZE CONFIDENCE NNADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6031 KANSAS AVE NW UNIT 201
WASHINGTON DC
20011-1566
US

IV. Provider business mailing address

6031 KANSAS AVE NW
WASHINGTON DC
20011-1566
US

V. Phone/Fax

Practice location:
  • Phone: 202-545-5040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1060855
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: