Iheoma Nnenna Anyanwu Adiele

Individual provider Active NPI Licensed Practical Nurse · Washington, DC

NPI 1407119183 · NPPES record last updated Jun 19, 2012

Key facts

NPI
1407119183
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN1002209 (DC)
Practice address
7600 Georgia Ave NW
Suite 323
Washington, DC 20012-1616
Phone
(202) 723-3060
Fax
(202) 723-3065
NPI assigned
Jun 19, 2012
Sex
Female
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
LPN1002209DCMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1002209 DC Yes

Addresses

Primary practice location

7600 Georgia Ave NW
Suite 323
Washington, DC 20012-1616

Mailing address

7600 Georgia Ave NW
Suite 323
Washington, DC 20012-1616
Phone (202) 723-3060

Other providers in Washington, DC

All providers in Washington, DC · Licensed Practical Nurse in District of Columbia

Sources for this page

Verify at the official NPI Registry.