Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annie Vanessa Mouafo, NP-FAMILY

Individual provider Family Nurse Practitioner · NPI 1134634538

Annie Vanessa Mouafo, NP-FAMILY is a Nurse Practitioner in Odenton, Maryland. Qualified in 2015, 11 years ago. Practices with Patient First Maryland Medical Group PLLC, a 255-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
11
Licensed in
MD
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1110 Annapolis Rd
Odenton, MD 21113-1602
Phone: (443) 351-3917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 — (410) 837-2050

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R179754 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F11170058 (MD)

Record details

NPI number1134634538
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-FAMILY
Sole proprietorNo
NPI enumeratedDecember 7, 2017
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Patient First Maryland Medical Group Pllc — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Odenton