Provider Demographics
NPI:1154686442
Name:AWANCHIRI, SHEILA NGUM
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:NGUM
Last Name:AWANCHIRI
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 1:7115 24TH PL
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-2706
Mailing Address - Country:US
Mailing Address - Phone:240-899-5400
Mailing Address - Fax:
Practice Address - Street 1:7115 24TH PL
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-2706
Practice Address - Country:US
Practice Address - Phone:240-899-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide