Provider Demographics
NPI:1396177846
Name:ANYE, CHE M
Entity Type:Individual
Prefix:
First Name:CHE
Middle Name:M
Last Name:ANYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 CHILLUM RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3333
Mailing Address - Country:US
Mailing Address - Phone:240-595-5552
Mailing Address - Fax:
Practice Address - Street 1:719 CHILLUM RD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3333
Practice Address - Country:US
Practice Address - Phone:240-595-5552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
DCHHA8514164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No164X00000XNursing Service ProvidersLicensed Vocational Nurse