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NPI Code Detail

MEDICARE: THEODORA ANIM

MEDICARE: THEODORA ANIM
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
1374U00000XHome Health AideHHA11065DC
2163W00000XRegistered NurseRN500014604DC

General Provider Information

NPI Number : 1407248198
Entity Type Code : Individual
Provider Name (Legal Business Name) : THEODORA ANIM
Provider Business Mailing Address
First Line : 820 UPSHUR ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-5837
Country : US
Telephone Number : 202-723-0304
Fax Number : 202-723-0367
Provider Business Practice Location Address
First Line : 820 UPSHUR ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-5837
Country : US
Telephone Number : 202-723-0304
Fax Number : 202-723-0367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2015
Last Update Date : 02/16/2026

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Directions to “ THEODORA ANIM ” Practice Location

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