Provider Demographics
NPI:1114363538
Name:NKINEKU SAH EPSE TOHNAIN, PERNUEIL NKINEKUO
Entity Type:Individual
Prefix:MISS
First Name:PERNUEIL
Middle Name:NKINEKUO
Last Name:NKINEKU SAH EPSE TOHNAIN
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 1:15005 JERIMIAH LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-7224
Mailing Address - Country:US
Mailing Address - Phone:240-643-3900
Mailing Address - Fax:
Practice Address - Street 1:15005 JERIMIAH LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-7224
Practice Address - Country:US
Practice Address - Phone:240-643-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-13
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide