MEDICARE: FESTUS N ANAGHE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1285359141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FESTUS N ANAGHE

Provider Business Mailing Address
First Line	:	2807 ORCHARD SUMMIT CT
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-2621
Country	:	US
Telephone Number	:	240-722-2355
Fax Number	:

Provider Business Practice Location Address
First Line	:	2807 ORCHARD SUMMIT CT
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-2621
Country	:	US
Telephone Number	:	240-722-2355
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2022
Last Update Date	:	07/25/2023

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Directions to “ FESTUS N ANAGHE ” Practice Location

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