Provider Demographics
NPI:1679975312
Name:ANKOMAH, ESTHER (RN)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:
Last Name:ANKOMAH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7520 MAPLE AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4941
Mailing Address - Country:US
Mailing Address - Phone:240-305-7205
Mailing Address - Fax:
Practice Address - Street 1:7520 MAPLE AVE APT 211
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4941
Practice Address - Country:US
Practice Address - Phone:240-305-7205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1027354163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse