Provider Demographics
NPI:1376310029
Name:EJINAKA, ESTHER NONYELUM
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:NONYELUM
Last Name:EJINAKA
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 1:1214 GOLDMINE CT
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-5837
Mailing Address - Country:US
Mailing Address - Phone:240-643-7073
Mailing Address - Fax:
Practice Address - Street 1:1214 GOLDMINE CT
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-5837
Practice Address - Country:US
Practice Address - Phone:240-643-7073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR205561363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health