Provider Demographics
NPI:1093060972
Name:NJANG, PRISCA AZEH
Entity Type:Individual
Prefix:
First Name:PRISCA
Middle Name:AZEH
Last Name:NJANG
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 1:6002 BREEZEWOOD DR APT 203
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-4170
Mailing Address - Country:US
Mailing Address - Phone:240-701-3868
Mailing Address - Fax:
Practice Address - Street 1:6002 BREEZEWOOD DR APT 203
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-4170
Practice Address - Country:US
Practice Address - Phone:240-701-3868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide