Anselm Azongho, LPN
Individual provider Active NPI Licensed Practical Nurse · Riverdale, MD
NPI 1932465002 · NPPES record last updated Apr 3, 2012
Key facts
- NPI
- 1932465002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN1005237 (DC)
- Practice address
- 6003 67TH Ave
Apt 3
Riverdale, MD 20737-1756 - Phone
- (301) 377-8182
- NPI assigned
- Apr 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN1005237 | DC | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN1005237 | DC | Yes |
Addresses
Primary practice location
6003 67TH Ave
Apt 3
Riverdale, MD 20737-1756
Mailing address
6003 67TH Ave
Apt 3
Riverdale, MD 20737-1756
Phone (301) 377-8182
Other providers in Riverdale, MD
- Ayisha Awudu
- Kate Ayika
- Tabot Bisong Ayuk
- Clovis Fontebo Azaah
- Hilary Kungang Azemzi
- Geraldine Mbirka Azongho
- Sikira Chantal Backus
- Marliatu Bah
- Maria Baires Rivera
- Kalar Andrea Baker
All providers in Riverdale, MD · Licensed Practical Nurse in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.