Provider Demographics
NPI:1467339291
Name:ANELE, LYNETTE JABACHI
Entity type:Individual
Prefix:
First Name:LYNETTE
Middle Name:JABACHI
Last Name:ANELE
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 1:5412 RIVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-2315
Mailing Address - Country:US
Mailing Address - Phone:240-791-6174
Mailing Address - Fax:
Practice Address - Street 1:5412 RIVERDALE RD
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-2315
Practice Address - Country:US
Practice Address - Phone:240-791-6174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide