Provider Demographics
NPI:1720599020
Name:EWUZIE, NNENNA SYLVERLINE
Entity Type:Individual
Prefix:MRS
First Name:NNENNA
Middle Name:SYLVERLINE
Last Name:EWUZIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NNENNA
Other - Middle Name:
Other - Last Name:OHANYELE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6175 GLENDALE RD.
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 SCHOOL STREET, SW SUIT 200
Practice Address - Street 2:PROFESSIONAL HEALTH CARE RESOURCES
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007
Practice Address - Country:US
Practice Address - Phone:703-310-7336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-13
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13024374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide