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NPI Code Detail

MEDICARE: ANU NKEMATABONG

MEDICARE: ANU NKEMATABONG
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1518896745
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANU NKEMATABONG
Provider Business Mailing Address
First Line : 1615 RHODE ISLAND AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-1802
Country : US
Telephone Number : 202-832-1698
Fax Number :
Provider Business Practice Location Address
First Line : 1615 RHODE ISLAND AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-1802
Country : US
Telephone Number : 202-832-1698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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Directions to “ ANU NKEMATABONG ” Practice Location

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