Provider Demographics
NPI:1023371119
Name:ANNAMAN, BEATRICE
Entity Type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:
Last Name:ANNAMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4424 68TH PL
Mailing Address - Street 2:APT D8
Mailing Address - City:LANDOVER HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2018
Mailing Address - Country:US
Mailing Address - Phone:202-361-3184
Mailing Address - Fax:
Practice Address - Street 1:4424 68TH PL
Practice Address - Street 2:APT D8
Practice Address - City:LANDOVER HILLS
Practice Address - State:MD
Practice Address - Zip Code:20784-2018
Practice Address - Country:US
Practice Address - Phone:202-361-3184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide