Healthcare Provider Details

I. General information

NPI: 1790615698
Provider Name (Legal Business Name): ANCHOR360HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9910 NICOL CT W
BOWIE MD
20721-2960
US

IV. Provider business mailing address

9910 NICOL CT W
BOWIE MD
20721-2960
US

V. Phone/Fax

Practice location:
  • Phone: 240-353-5364
  • Fax:
Mailing address:
  • Phone: 240-353-5364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHIOMA L ONWUAKPA
Title or Position: OWNER
Credential: NP
Phone: 240-353-5364