Provider Demographics
NPI:1730482035
Name:MOTANYA, NNEKA NWAMAKA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:NNEKA
Middle Name:NWAMAKA
Last Name:MOTANYA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6752
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-0752
Mailing Address - Country:US
Mailing Address - Phone:888-808-6483
Mailing Address - Fax:888-721-8040
Practice Address - Street 1:5255 LOUGHBORO RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2633
Practice Address - Country:US
Practice Address - Phone:888-808-6483
Practice Address - Fax:888-721-8040
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC05672363AM0700X
DCPA030719363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCPA030719OtherPHYSICIAN ASSISTANT LICENSE NUMBER
MDC05672OtherPHYSICIAN ASSISTANT LICENSE