Healthcare Provider Details

I. General information

NPI: 1982534921
Provider Name (Legal Business Name): ESTHER ACHANKWNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

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

13817 BRIARWOOD DR
LAUREL MD
20708-1385
US

IV. Provider business mailing address

6006 85TH PL
NEW CARROLLTON MD
20784-2808
US

V. Phone/Fax

Practice location:
  • Phone: 213-317-8912
  • Fax: 213-317-8912
Mailing address:
  • Phone: 213-317-8974
  • Fax: 213-317-8974

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: