Healthcare Provider Details
I. General information
NPI: 1013399054
Provider Name (Legal Business Name): MS. ANNA NKAPSAH NJI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/26/2015
Last Update Date: 06/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
404 REISTERSTOWN RD
PIKESVILLE MD
21208-5321
US
IV. Provider business mailing address
404 REISTERSTOWN RD
PIKESVILLE MD
21208-5321
US
V. Phone/Fax
- Phone: 443-762-6581
- Fax:
- Phone: 443-762-6581
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 373H00000X |
| Taxonomy | Day Training/Habilitation Specialist |
| License Number | R138510 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: