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MODUPE ANTHONY FNP-BC
NPI 1952136178
Nurse Practitioner - Family in La Plata, MD

Active since September 06, 2024
118 LA GRANGE AVE, LA PLATA, MD 20646(240) 349-2536(800) 517-4345 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2025, Sep 6, 2024 (2 updates tracked since 2024).

About Modupe Anthony Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODUPE ANTHONY FNP-BC (NPI 1952136178) is an individual family provider in La Plata, Maryland, licensed in Maryland (R219754) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1952136178
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMODUPE ANTHONYCredential: FNP-BC
Location Address118 LA GRANGE AVELa Plata, MD 20646-0198
Mailing Address118 La Grange AveLa Plata, MD 20646-0198 · (240) 349-2536 · Fax (800) 517-4345
Phone(240) 349-2536
Fax(800) 517-4345
Sole ProprietorYes
Enumeration DateSeptember 6, 2024
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1952136178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R219754
118 LA GRANGE AVE, La Plata, MD 20646
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modupe Anthony's NPI number?

The NPI number for Modupe Anthony is 1952136178. It was assigned to this individual provider in the NPPES registry on September 6, 2024.

Where is Modupe Anthony located?

Modupe Anthony practices at 118 La Grange Ave, La Plata, MD 20646. The listed phone number is (240) 349-2536.

What is Modupe Anthony's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Modupe Anthony was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.