Provider Demographics
NPI:1003789942
Name:NGWOGOU, PATIENCE NDENGE
Entity type:Individual
Prefix:
First Name:PATIENCE
Middle Name:NDENGE
Last Name:NGWOGOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 4TH ST APT E
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5120
Mailing Address - Country:US
Mailing Address - Phone:240-584-3571
Mailing Address - Fax:
Practice Address - Street 1:905 4TH ST APT E
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5120
Practice Address - Country:US
Practice Address - Phone:240-584-3571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide