Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | R171314 | MD |
NPI | 1033722962 |
---|---|
Provider Name | Francis Aneke |
First Address | Lanham, MD 20706-2446 |
Second Address | Bethesda, MD 20892-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2020 |
Last Update Date | 29/08/2020 |