Provider Demographics
NPI:1568947869
Name:ANYU-CHITA, WEKS WEKONGHO (NP)
Entity Type:Individual
Prefix:
First Name:WEKS
Middle Name:WEKONGHO
Last Name:ANYU-CHITA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1934 ACORN LN
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-7917
Mailing Address - Country:US
Mailing Address - Phone:804-350-1755
Mailing Address - Fax:
Practice Address - Street 1:1934 ACORN LN
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-7917
Practice Address - Country:US
Practice Address - Phone:804-350-1755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN225611363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily