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Contact Information

KENNY A AMANZE, CRNP-PHM
915 RHODE ISLAND AVE NW
WASHINGTON, DC20001-4153
 Phone: 240-643-5160
 Fax: 202-644-7024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KENNY A AMANZE · (Female)

NPI Number 1962168468
Status Active
Credentials CRNP-PHM
Entity Individual
Enumeration date 11/10/2021
Last updated 04/09/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • DC License # NP1031662
  • MD License # R207092
  • MD Medicaid 1043645344
  • MD Medicaid 1083094056
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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