Healthcare Provider Details

I. General information

NPI: 1568374122
Provider Name (Legal Business Name): ANIK-WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
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

Practice location:
  • Phone: 301-744-7740
  • Fax: 301-235-1541
Mailing address:
  • Phone: 301-744-7740
  • Fax: 301-235-1541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: OGONNA ANAKOR
Title or Position: CLINICIAN
Credential: MS, APRN
Phone: 301-744-7740