Provider Demographics
NPI:1902682198
Name:NNAMANI-ENEH, NKEMAKONAM V (RN)
Entity Type:Individual
Prefix:MS
First Name:NKEMAKONAM
Middle Name:V
Last Name:NNAMANI-ENEH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2071 TWIN SIX LN
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-3009
Mailing Address - Country:US
Mailing Address - Phone:703-678-6716
Mailing Address - Fax:
Practice Address - Street 1:2071 TWIN SIX LN
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-3009
Practice Address - Country:US
Practice Address - Phone:703-678-6716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN500009457163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse