Provider Demographics
NPI:1508460403
Name:NDODE CHRISTEL, NDENE
Entity Type:Individual
Prefix:
First Name:NDENE
Middle Name:
Last Name:NDODE CHRISTEL
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 1:11621 LOCKWOOD DR APT T1
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2324
Mailing Address - Country:US
Mailing Address - Phone:240-850-5605
Mailing Address - Fax:
Practice Address - Street 1:11621 LOCKWOOD DR APT T1
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2324
Practice Address - Country:US
Practice Address - Phone:240-850-5605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA0017295376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide