Provider Demographics
NPI:1770027674
Name:ANYIFUET, PARVIN
Entity Type:Individual
Prefix:
First Name:PARVIN
Middle Name:
Last Name:ANYIFUET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 64TH AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:LANDOVER HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1829
Mailing Address - Country:US
Mailing Address - Phone:240-481-8451
Mailing Address - Fax:
Practice Address - Street 1:3805 64TH AVE APT 103
Practice Address - Street 2:
Practice Address - City:LANDOVER HILLS
Practice Address - State:MD
Practice Address - Zip Code:20784-1829
Practice Address - Country:US
Practice Address - Phone:240-481-8451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-12
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide