Doctor Name: | MRS. MAUREEN U ANYAOHA |
NPI Number: | 1073889143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN212219 |
Business Practice Address: | 1410 Paddocks Way Powder Springs, GA - 301275500 |
Business Phone Number: | 7708562522 |
Business Fax Number: | |
Mailing Address: | 1410 Paddocks Way, POWDER SPRINGS |
State: | GA |
Postal Code: | 301275500 |
Phone Number: | 7708562522 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2012 |
NPI Last Update Date: | 03/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0807X |
License Number: | RN212219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
Taxonomy Definition: |