Provider Demographics
NPI:1093588063
Name:SINDJUI, EMILIENNE WANSI
Entity Type:Individual
Prefix:
First Name:EMILIENNE
Middle Name:WANSI
Last Name:SINDJUI
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 1:7815 AYLESFORD LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5549
Mailing Address - Country:US
Mailing Address - Phone:202-413-3230
Mailing Address - Fax:
Practice Address - Street 1:7815 AYLESFORD LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5549
Practice Address - Country:US
Practice Address - Phone:202-413-3230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-01
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
DCRN1028957163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant