Individual provider · Type 1 NPI
Modupe Anthony, FNP-BC
Family Nurse Practitioner · La Plata, MD
NPI number
1952136178
Active
Practice location
118 La Grange Ave
La Plata, MD 20646-0198
Fax (800) 517-4345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R219754 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1952136178
Modupe Anthony, FNP-BC's National Provider Identifier is 1952136178, issued on Sep 6, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Plata, MD. The record was last updated on Dec 10, 2025.