Provider Demographics
NPI:1942786157
Name:AGANA, NNENNA PATRICIA
Entity Type:Individual
Prefix:
First Name:NNENNA
Middle Name:PATRICIA
Last Name:AGANA
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 1:7127 CIPRIANO SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3836
Mailing Address - Country:US
Mailing Address - Phone:240-556-3660
Mailing Address - Fax:
Practice Address - Street 1:7127 CIPRIANO SPRINGS DR
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3836
Practice Address - Country:US
Practice Address - Phone:240-556-3660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health