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NPI Code Detail

MEDICARE: MS. NIAYA IMANI-ADA JOHNSON

MEDICARE:  MS. NIAYA IMANI-ADA JOHNSON
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
1163W00000XRegistered NurseRN500007356DC

General Provider Information

NPI Number : 1457216574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NIAYA IMANI-ADA JOHNSON
Provider Business Mailing Address
First Line : 3404 SOAPSTONE CT
Second Line :
City : WALDORF
State : MD
Zip : 20601-4637
Country : US
Telephone Number : 301-885-8231
Fax Number :
Provider Business Practice Location Address
First Line : 3130 POTOMAC AVE APT 308
Second Line :
City : ARLINGTON
State : VA
Zip : 22202-4572
Country : US
Telephone Number : 301-885-8231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2025
Last Update Date : 12/20/2025

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Directions to “ MS. NIAYA IMANI-ADA JOHNSON ” Practice Location

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