Individual
ATOLA NNENNA IDIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 CRAIN HWY, WHITE PLAINS, MD 20695-3045
(301) 609-6700
(301) 609-6741
Mailing address
1316 MINNESOTA WAY, UPPER MARLBORO, MD 20774-6060
(202) 702-6789
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R210401
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05211985
—
MD
Enumeration date
08/11/2020
Last updated
02/09/2026
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