Individual
ANTHONY OKENWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
5704 JEFFERSON ST, RIVERDALE, MD 20737-2700
(240) 393-6752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500013043
DC
163WG0000X
General Practice Registered Nurse
RN500013043
DC
164W00000X
Licensed Practical Nurse
LP43666
MD
164W00000X
Licensed Practical Nurse
LPN1007193
DC
Other
Enumeration date
02/04/2014
Last updated
08/23/2023
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