Individual provider · Type 1 NPI
Anisha Chakkacheril Ninan, CRNP
Family Nurse Practitioner · Laurel, MD
NPI number
1336631886
Active
Practice location
7350 Van Dusen Rd Ste 210
Laurel, MD 20707-5268
Fax (301) 498-7346
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Other practice locations
- 7350 Van Dusen Rd Ste 410, Laurel, MD 20707-5265 · (301) 395-5500
- 5500 Knoll North Dr Ste 460, Columbia, MD 21045-2380 · (410) 730-9363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 862730 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | R235759 (MD) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1336631886
Anisha Chakkacheril Ninan, CRNP's National Provider Identifier is 1336631886, issued on May 31, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Laurel, MD. The record was last updated on Aug 19, 2024.