Provider Demographics
NPI:1346122397
Name:ACHA, ANITA ABOH
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:ABOH
Last Name:ACHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9505 WELLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3645
Mailing Address - Country:US
Mailing Address - Phone:202-908-9704
Mailing Address - Fax:
Practice Address - Street 1:9505 WELLINGTON ST
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3645
Practice Address - Country:US
Practice Address - Phone:202-908-9704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide