Emmanuel A Anamelechi

Individual provider Active NPI Nurse's Aide · Washington, DC

NPI 1003388299 · NPPES record last updated Dec 28, 2018

Key facts

NPI
1003388299
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
NA0000607648 (DC)
Practice address
121 Peabody St NW
Washington, DC 20011-2213
Phone
(202) 607-9716
NPI assigned
Dec 28, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
NA0000607648DCMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NA0000607648 DC Yes

Addresses

Primary practice location

121 Peabody St NW
Washington, DC 20011-2213

Mailing address

228 Tuckerman St NW
Washington, DC 20011-1455
Phone (202) 276-6898

Other providers in Washington, DC

All providers in Washington, DC · Nurse's Aide in District of Columbia

Sources for this page

Verify at the official NPI Registry.