Provider Demographics
NPI:1730675463
Name:ANABARAONYE, BLESSING NGOZI (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BLESSING
Middle Name:NGOZI
Last Name:ANABARAONYE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6605 MANTON WAY
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2490
Mailing Address - Country:US
Mailing Address - Phone:120-270-9261
Mailing Address - Fax:
Practice Address - Street 1:6605 MANTON WAY
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2490
Practice Address - Country:US
Practice Address - Phone:120-270-9261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR136002363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health