Individual
COLLETTE ANYIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7300 VAN DUSEN RD, LAUREL, MD 20707-9463
(301) 497-7966
(201) 617-8616
Mailing address
7300 VAN DUSEN RD, LAUREL, MD 20707-9463
(301) 497-7966
(201) 617-8616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R132391
MD
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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