Provider Demographics
NPI:1093445462
Name:NGEMBUS-NIHNGIEH, ABONGE GEORGETTE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ABONGE
Middle Name:GEORGETTE
Last Name:NGEMBUS-NIHNGIEH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:ABONGE
Other - Middle Name:GEORGETTE
Other - Last Name:NGEMBUSNIHNGIEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:2050 LEXINGTON RD
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-1738
Mailing Address - Country:US
Mailing Address - Phone:703-597-4357
Mailing Address - Fax:
Practice Address - Street 1:2050 LEXINGTON RD
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1738
Practice Address - Country:US
Practice Address - Phone:703-597-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024184352363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily