Provider Demographics
NPI:1629882774
Name:NWANNA, APRIL LYNNETTE
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNNETTE
Last Name:NWANNA
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 1:4303 57TH AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-1721
Mailing Address - Country:US
Mailing Address - Phone:301-367-5751
Mailing Address - Fax:
Practice Address - Street 1:4303 57TH AVE APT 9
Practice Address - Street 2:
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-1721
Practice Address - Country:US
Practice Address - Phone:301-367-5751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA14908374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide