Healthcare Provider Details

I. General information

NPI: 1548520976
Provider Name (Legal Business Name): NKECHINYERE MARIA NNAJI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2012
Last Update Date: 05/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7506 GEORGIA AVE NW UNIT 2
WASHINGTON DC
20012-1608
US

IV. Provider business mailing address

3048 UNIVERSITY TER NW
WASHINGTON DC
20016-3463
US

V. Phone/Fax

Practice location:
  • Phone: 202-722-2254
  • Fax:
Mailing address:
  • Phone: 202-210-1313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: