Modupe Anthony, FNP-BC Valid NPI

Individual provider · Family Nurse Practitioner · La Plata, MD

NPI

1952136178

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

R219754 (MD)

Sex

Female

Sole proprietor

Yes

Enumerated

2024-09-06

Last updated

2025-12-10