Provider Demographics
NPI:1891677837
Name:MPAMENI, CLAUDELLE BERSONNE
Entity type:Individual
Prefix:
First Name:CLAUDELLE
Middle Name:BERSONNE
Last Name:MPAMENI
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 1:211 RHEA DR
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25403-1758
Mailing Address - Country:US
Mailing Address - Phone:202-373-5926
Mailing Address - Fax:
Practice Address - Street 1:211 RHEA DR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25403-1758
Practice Address - Country:US
Practice Address - Phone:202-373-5926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant