Provider Demographics
NPI:1447655261
Name:EMONINA, ANNE CHIOMA
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:CHIOMA
Last Name:EMONINA
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 1:11608 STEWART LN APT 303
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2453
Mailing Address - Country:US
Mailing Address - Phone:301-625-9344
Mailing Address - Fax:
Practice Address - Street 1:11608 STEWART LN APT 303
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2453
Practice Address - Country:US
Practice Address - Phone:301-625-9344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLPN1005307164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse