Provider Demographics
NPI:1336406669
Name:ANYAM, AMINA
Entity Type:Individual
Prefix:
First Name:AMINA
Middle Name:
Last Name:ANYAM
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 1:2510 STANDIFER PL
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2678
Mailing Address - Country:US
Mailing Address - Phone:240-643-6654
Mailing Address - Fax:
Practice Address - Street 1:2510 STANDIFER PL
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2678
Practice Address - Country:US
Practice Address - Phone:240-643-6654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1059315163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse