Provider Demographics
NPI:1235641275
Name:NCHA, CATHERINE MBEH
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:MBEH
Last Name:NCHA
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 1:4920 NIAGARA RD STE 301
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-1146
Mailing Address - Country:US
Mailing Address - Phone:240-297-9358
Mailing Address - Fax:240-391-6416
Practice Address - Street 1:4920 NIAGARA RD
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1110
Practice Address - Country:US
Practice Address - Phone:240-297-9358
Practice Address - Fax:240-391-6416
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
R4073R374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide