Provider Demographics
NPI:1730433194
Name:ANNAH, ELOISE EME (GNA ,HHA,CMT)
Entity type:Individual
Prefix:MS
First Name:ELOISE
Middle Name:EME
Last Name:ANNAH
Suffix:
Gender:F
Credentials:GNA ,HHA,CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 ALLENTOWN RD
Mailing Address - Street 2:
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20746-4521
Mailing Address - Country:US
Mailing Address - Phone:301-899-3200
Mailing Address - Fax:
Practice Address - Street 1:800 KAY CT APT 204
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5143
Practice Address - Country:US
Practice Address - Phone:240-715-5682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00112109163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health