Provider Demographics
NPI:1144606872
Name:NGOUEMETA, ROSINE
Entity Type:Individual
Prefix:
First Name:ROSINE
Middle Name:
Last Name:NGOUEMETA
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 1:2759 MARTIN LUTHER KING JR AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-2646
Mailing Address - Country:US
Mailing Address - Phone:202-827-9961
Mailing Address - Fax:
Practice Address - Street 1:3422 55TH AVE APT 404
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1037
Practice Address - Country:US
Practice Address - Phone:240-440-7250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN50002512163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse