Provider Demographics
NPI:1235731662
Name:NKENG, MARIAN AKAMIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARIAN
Middle Name:AKAMIN
Last Name:NKENG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15520 ANNAPOLIS RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-3002
Mailing Address - Country:US
Mailing Address - Phone:202-390-6524
Mailing Address - Fax:
Practice Address - Street 1:15520 ANNAPOLIS RD
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-3002
Practice Address - Country:US
Practice Address - Phone:202-390-6524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25959183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist