Individual ProviderSamuel Nwani NnadiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address900 23rd St NW, Washington, DC 20037-2342(202) 715-4000(301) 237-0225PECOS EnrollmentBased on the most recent information from CMS, provider Samuel Nwani Nnadi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1164047361Provider TypeIndividualFull NameNnadi, Samuel NwaniCredentialNPGenderMaleSole ProprietorNoEnumeration Date6/12/2020Last Updated6/12/2020Contact InformationPractice LocationPractice Address900 23rd St NW, Washington, DC 20037-2342Phone(202) 715-4000FaxUnlisted FaxMailing LocationMailing Address13705 Hotomtot Dr, Largo, MD 20774-7157Phone(301) 237-0225FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2020008565Maryland