Provider Demographics
NPI:1447060397
Name:NTCHANTCHOU NKONGUE, AURELIE
Entity type:Individual
Prefix:
First Name:AURELIE
Middle Name:
Last Name:NTCHANTCHOU NKONGUE
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 1:3508 ELLEN CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1273
Mailing Address - Country:US
Mailing Address - Phone:240-714-8746
Mailing Address - Fax:
Practice Address - Street 1:3508 ELLEN CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1273
Practice Address - Country:US
Practice Address - Phone:240-714-8746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide