Provider Demographics
NPI:1376350959
Name:ANAGA, CHINYERE RUBIE
Entity type:Individual
Prefix:
First Name:CHINYERE RUBIE
Middle Name:
Last Name:ANAGA
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 1:5300 SIX FORKS RD STE 205
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4465
Mailing Address - Country:US
Mailing Address - Phone:919-390-7772
Mailing Address - Fax:
Practice Address - Street 1:5300 SIX FORKS RD STE 205
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4465
Practice Address - Country:US
Practice Address - Phone:919-390-7772
Practice Address - Fax:919-246-6445
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide