MEDICARE: CLAUDIA NNENNA EZEANI

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	225X00000X	Occupational Therapist		MD

General Provider Information

NPI Number	:	1528936077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA NNENNA EZEANI

Provider Business Mailing Address
First Line	:	2350 WASHINGTON PL NE APT 543
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-1079
Country	:	US
Telephone Number	:	512-673-2097
Fax Number	:

Provider Business Practice Location Address
First Line	:	9327 FRASER AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1228
Country	:	US
Telephone Number	:	929-422-8493
Fax Number	:

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

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	10/27/2025

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Directions to “ CLAUDIA NNENNA EZEANI ” Practice Location

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