Healthcare Provider Details

I. General information

NPI: 1215741244
Provider Name (Legal Business Name): MISS ANTHONIET UWAZURUONYE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2025
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2526 PENNSYLVANIA AVE SE STE C
WASHINGTON DC
20020-6729
US

IV. Provider business mailing address

2501 SMITH AVE
BALTIMORE MD
21209-2505
US

V. Phone/Fax

Practice location:
  • Phone: 202-748-5641
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: