Healthcare Provider Details

I. General information

NPI: 1720779168
Provider Name (Legal Business Name): BLESSING VONONDE AYANOU DNP, CRNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13975 CONNECTICUT AVE STE 250-19
SILVER SPRING MD
20906-2921
US

IV. Provider business mailing address

13975 CONNECTICUT AVE STE 250-19
SILVER SPRING MD
20906-2921
US

V. Phone/Fax

Practice location:
  • Phone: 240-335-5888
  • Fax: 301-701-6890
Mailing address:
  • Phone: 240-335-5888
  • Fax: 301-701-6890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR233492
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: