Healthcare Provider Details
I. General information
NPI: 1821831082
Provider Name (Legal Business Name): OGONNA ANAKOR MS, APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/17/2024
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8403 COLESVILLE RD STE 1100
SILVER SPRING MD
20910-6346
US
IV. Provider business mailing address
8403 COLESVILLE RD STE 1100
SILVER SPRING MD
20910-6346
US
V. Phone/Fax
- Phone: 301-744-7740
- Fax: 301-235-1541
- Phone: 301-744-7740
- Fax: 301-235-1541
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | AC007893 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: