MEDICARE: HANNIBAL AWUNGNJIA APRN.CNP

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	363LF0000X	Family Nurse Practitioner	APRN.CNP.0034725	OH
2	363LP2300X	Primary Care Nurse Practitioner	APRN.CNP.0034725	OH

General Provider Information

NPI Number	:	1760749543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNIBAL AWUNGNJIA APRN.CNP

Provider Business Mailing Address
First Line	:	12203 TAYLORS WAY
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-9964
Country	:	US
Telephone Number	:	202-683-0612
Fax Number	:

Provider Business Practice Location Address
First Line	:	12203 TAYLORS WAY
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-9964
Country	:	US
Telephone Number	:	202-683-0612
Fax Number	:

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

Provider Enumeration Date	:	04/18/2012
Last Update Date	:	05/27/2025

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