Provider Demographics
NPI:1497156418
Name:ANEKE, GODFREY OGBONNA (DNP, PMHNP-BC FNP-C)
Entity Type:Individual
Prefix:DR
First Name:GODFREY
Middle Name:OGBONNA
Last Name:ANEKE
Suffix:
Gender:M
Credentials:DNP, PMHNP-BC FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11869 TOPPELL TRL
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-1509
Mailing Address - Country:US
Mailing Address - Phone:972-210-0690
Mailing Address - Fax:757-767-7905
Practice Address - Street 1:230 HILTON AVE STE 15
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-8116
Practice Address - Country:US
Practice Address - Phone:516-854-0101
Practice Address - Fax:757-767-7905
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-09
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF338939363LF0000X
NYF403457363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily