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Chioma Angela Ajuonuma

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2112 F St NW Ste 504, Washington, DC 20037-2761

PECOS Enrollment

This provider is enrolled in PECOS as CHIOMA AJUONUMA.

Based on the most recent information from CMS, provider Chioma Angela Ajuonuma is legally eligible to order and refer claims for HHA, DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1295373611
Provider Type
Individual
Full Name
Ajuonuma, Chioma Angela
Title
Mrs.
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/16/2019
Last Updated
11/10/2020

Contact Information

Practice Location

2112 F St NW Ste 504, Washington, DC 20037-2761

(843) 554-2533

Unlisted Fax

Mailing Location

10215 Fernwood Rd Ste 630, Bethesda, MD 20817-1184

(410) 960-7052

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R212063 Maryland

Chioma Angela Ajuonuma

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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