Provider Demographics
NPI:1154670024
Name:ETAPE, PIUS SAKANG
Entity Type:Individual
Prefix:
First Name:PIUS
Middle Name:SAKANG
Last Name:ETAPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7006 GOOD LUCK RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3709
Mailing Address - Country:US
Mailing Address - Phone:443-580-8803
Mailing Address - Fax:
Practice Address - Street 1:7006 GOOD LUCK RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3709
Practice Address - Country:US
Practice Address - Phone:443-580-8803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide