Provider Demographics
NPI:1447986252
Name:NNEH, ELEANOR NZUME
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:NZUME
Last Name:NNEH
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 1:7104 RIGGS ROAD CT
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-2950
Mailing Address - Country:US
Mailing Address - Phone:202-940-3605
Mailing Address - Fax:
Practice Address - Street 1:7104 RIGGS ROAD CT
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-2950
Practice Address - Country:US
Practice Address - Phone:202-940-3605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00185305376K00000X
374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide