MEDICARE: SUSAN ANAKAH

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	163WH0200X	Home Health Registered Nurse	HHA14221	DC
2	374U00000X	Home Health Aide	HHA14221	DC

General Provider Information

NPI Number	:	1659844165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN ANAKAH

Provider Business Mailing Address
First Line	:	6323 GEORGIA AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-1101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2807 ORCHARD SUMMIT CT
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-2621
Country	:	US
Telephone Number	:	240-665-0598
Fax Number	:

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

Provider Enumeration Date	:	01/07/2019
Last Update Date	:	02/17/2019

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Directions to “ SUSAN ANAKAH ” Practice Location

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