Provider Demographics
NPI:1043793227
Name:ABIA ESPE OFE, DIANA NJI
Entity Type:Individual
Prefix:
First Name:DIANA NJI
Middle Name:
Last Name:ABIA ESPE OFE
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 1:3426 DODGE PARK RD APT 302
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2051
Mailing Address - Country:US
Mailing Address - Phone:803-269-7270
Mailing Address - Fax:
Practice Address - Street 1:601 EDGEWOOD ST NE APT 212
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3316
Practice Address - Country:US
Practice Address - Phone:240-714-1862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONOtherNON