OBIAGELI DURU ANOUMATACKY CRNP NPI 1508244161

NPI Information

  • NPI: 1508244161
  • Provider Name: OBIAGELI DURU ANOUMATACKY, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19735 GERMANTOWN RD
    GERMANTOWN, MD
    ZIP 20874
  • Phone: (301) 634-9600

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NPI Details

Obiageli Duru Anoumatacky, CRNP is a family nurse practitioner in Germantown, MD. Obiageli Duru Anoumatacky, CRNP NPI is 1508244161. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19735 GERMANTOWN RD
GERMANTOWN, MD
ZIP 20874-214
Phone: (301) 634-9600
Fax: (301) 493-8553

The NPI 1508244161 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/14/2015 and was last updated on 11/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN1022296DISTRICT OF COLUMBIANo
2163W00000XRegistered NurseR193298MARYLANDNo
3363LF0000XNurse PractitionerFamily1022296DISTRICT OF COLUMBIANo
4363LF0000XNurse PractitionerFamilyR193298MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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