Provider Demographics
NPI:1447004122
Name:NGONKANE, SILVIE (LPN)
Entity type:Individual
Prefix:
First Name:SILVIE
Middle Name:
Last Name:NGONKANE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SORRENTO DR NW
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-6524
Mailing Address - Country:US
Mailing Address - Phone:770-865-2949
Mailing Address - Fax:
Practice Address - Street 1:110 SORRENTO DR NW
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-6524
Practice Address - Country:US
Practice Address - Phone:770-865-2949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management