Healthcare Provider Details

I. General information

NPI: 1477357259
Provider Name (Legal Business Name): CHARLOTTE BIH ANEH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

13016 LAUREL BOWIE RD
LAUREL MD
20708-2133
US

IV. Provider business mailing address

600 PA AVE SE STE 210
WASHINGTON DC
20003-4344
US

V. Phone/Fax

Practice location:
  • Phone: 301-875-5981
  • Fax:
Mailing address:
  • Phone: 202-282-3004
  • Fax: 202-282-2057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberA00223397
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: