ANNIE VANESSA MOUAFO (NPI# 1134634538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134634538 |
Entity Type | Individual |
Full Name | ANNIE VANESSA MOUAFO |
Credential | NP-FAMILY |
Practice Address |
9470 Annapolis Rd Ste 301 Lanham MD 20706-3076 |
Mailing Address |
3165 W Springs Dr Apt C Ellicott City MD 21043-2958 |
Practice Telephone | 3013068990 |
Mailing Telephone | 9179416652 |
Enumeration Date | 2017-12-07 |
Last Update Date | 2017-12-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F11170058 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9470 ANNAPOLIS RD STE 301 |
City | LANHAM |
State | MD |
Zip Code | 20706-3076 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
Find all providers in zip 20706 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568089365 | Blessing Ngozi Ohwaga | Nurse Practitioner | 9470 Annapolis Rd # 401, Lanham, MD 20706-3025 | 2020-06-29 |
1700428778 | Beatrice Mbetiji Ngati | Nurse Practitioner | 9881 Good Luck Rd # Appt5, Lanham, MD 20706-3214 | 2019-10-11 |
1972153377 | Akeyla Bigelow | Nurse Practitioner | 8116 Good Luck Rd Ste 110, Lanham, MD 20706-3516 | 2019-09-17 |
1255988804 | Irene Ogochukwu Offor | Nurse Practitioner | 6305 Brightlea Dr, Lanham, MD 20706-2847 | 2019-08-19 |
1144799834 | Jebeh Baimba | Nurse Practitioner | 6902 Storch Cir, Lanham, MD 20706-2177 | 2018-11-25 |
1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
1255844395 | Nonyelum Patience Odenigbo | Nurse Practitioner | 6815 99th Ave, Lanham, MD 20706-3639 | 2017-11-12 |
1710428941 | Ayo Williams | Nurse Practitioner | 7005 Woodstream Ter, Lanham, MD 20706-2154 | 2017-03-20 |
1972977353 | Stella Obianuju Akpuaka | Nurse Practitioner | 9470 Annapolis Rd # 115, Lanham, MD 20706-3025 | 2015-11-22 |
Find all providers in LANHAM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.