Provider Demographics
NPI:1447503560
Name:NGWESE, NGAPE
Entity type:Individual
Prefix:
First Name:NGAPE
Middle Name:
Last Name:NGWESE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7867 RIVERDALE RD APT203
Mailing Address - Street 2:
Mailing Address - City:NEWCARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784
Mailing Address - Country:US
Mailing Address - Phone:240-898-6255
Mailing Address - Fax:202-636-1936
Practice Address - Street 1:7867 RIVERDALE RD APT 203
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-4035
Practice Address - Country:US
Practice Address - Phone:240-898-6255
Practice Address - Fax:202-636-1936
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide