Provider Demographics
NPI:1679343842
Name:ANYAH, ETHEL TEKE
Entity type:Individual
Prefix:
First Name:ETHEL TEKE
Middle Name:
Last Name:ANYAH
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 1:6707 W FOREST RD APT 301
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3315
Mailing Address - Country:US
Mailing Address - Phone:240-309-9252
Mailing Address - Fax:
Practice Address - Street 1:6707 W FOREST RD APT 301
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-3315
Practice Address - Country:US
Practice Address - Phone:240-309-9252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide