Provider Demographics
NPI:1003477027
Name:NGAMPA, BRIGET P
Entity Type:Individual
Prefix:
First Name:BRIGET
Middle Name:P
Last Name:NGAMPA
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 1:243 HARRY S TRUMAN DR APT 23
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2025
Mailing Address - Country:US
Mailing Address - Phone:703-568-4408
Mailing Address - Fax:
Practice Address - Street 1:243 HARRY S TRUMAN DR APT 23
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-2025
Practice Address - Country:US
Practice Address - Phone:703-568-4408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA14490374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide