Provider Demographics
NPI:1477815926
Name:ANYERE, NJI A
Entity Type:Individual
Prefix:
First Name:NJI
Middle Name:A
Last Name:ANYERE
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 1:5006 57TH AVE APT C8
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-1657
Mailing Address - Country:US
Mailing Address - Phone:240-305-0296
Mailing Address - Fax:
Practice Address - Street 1:5006 57TH AVE APT C8
Practice Address - Street 2:
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-1657
Practice Address - Country:US
Practice Address - Phone:240-305-0296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide