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NPI Code Detail

MEDICARE: ANIVETTE AKUD TITA

MEDICARE: ANIVETTE AKUD TITA
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
1172V00000XCommunity Health Worker
2106S00000XBehavior Technician
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1588368401
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANIVETTE AKUD TITA
Provider Business Mailing Address
First Line : 2918 MINNESOTA AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-1127
Country : US
Telephone Number : 202-913-7214
Fax Number :
Provider Business Practice Location Address
First Line : 2918 MINNESOTA AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-1127
Country : US
Telephone Number : 202-913-7214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 06/02/2026

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Directions to “ ANIVETTE AKUD TITA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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