Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 38480 | IA |
Y | 207L00000X | Anesthesiologist | D70572 | MD |
NPI | 1003952979 |
---|---|
Provider Name | Dr. Enyinnaya Rose Nwaneri |
First Address | Lanham, MD 20706-1104 |
Second Address | Upper Marlboro, MD 20774-5374 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 27/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T4863 | JHH DOCTOR'S NUMBER (01) | MD |