Provider Demographics
NPI:1356839989
Name:AKWURAH, NEZE EZENWANYI
Entity Type:Individual
Prefix:
First Name:NEZE
Middle Name:EZENWANYI
Last Name:AKWURAH
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 1:14357 BEAKER CT
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-2050
Mailing Address - Country:US
Mailing Address - Phone:202-790-9868
Mailing Address - Fax:
Practice Address - Street 1:14357 BEAKER CT
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-2050
Practice Address - Country:US
Practice Address - Phone:202-790-9868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant