Healthcare Provider Details

I. General information

NPI: 1720672488
Provider Name (Legal Business Name): CLEARIS ANUJEH DR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLEARIS ANUJEH DOCTORATE

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E FRANKLIN ST STE 1051607
RICHMOND VA
23219-2512
US

IV. Provider business mailing address

15309 DOVEHEART LN
BOWIE MD
20721-3045
US

V. Phone/Fax

Practice location:
  • Phone: 252-772-8573
  • Fax: 540-779-8006
Mailing address:
  • Phone: 240-772-8573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5017194
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAC006340
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: