Provider Demographics
NPI:1326793258
Name:SEUHOU NANA, CALVINE PAMELA
Entity Type:Individual
Prefix:
First Name:CALVINE
Middle Name:PAMELA
Last Name:SEUHOU NANA
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 1:11552 LOCKWOOD DR APT C1
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2430
Mailing Address - Country:US
Mailing Address - Phone:240-273-0622
Mailing Address - Fax:
Practice Address - Street 1:11552 LOCKWOOD DR APT C1
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2430
Practice Address - Country:US
Practice Address - Phone:240-273-0622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide