IndividualActive
Jan Anova, IDC
NPI 1497004840 · Independent Duty Corpsman · Annapolis, MD
Provider details
- NPI number
- 1497004840
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
250 Wood Rd
Annapolis, MD 21402-1257
Phone: (619) 781-7024
Approximate (ZIP-level) locationGet directions
Mailing address
250 Wood Rd
Annapolis, MD 21402-1257
Registry dates
- Enumerated
- 2012-08-30
- Last updated
- 2014-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.