Provider Demographics
NPI:1407116254
Name:NKEMAZEH, EMMANUEL AKAFU
Entity Type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:AKAFU
Last Name:NKEMAZEH
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 1:5917 CHERRYWOOD TER APT 205
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-4273
Mailing Address - Country:US
Mailing Address - Phone:614-905-8536
Mailing Address - Fax:
Practice Address - Street 1:5917 CHERRYWOOD TER APT 205
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-4273
Practice Address - Country:US
Practice Address - Phone:614-905-8536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide