Provider Demographics
NPI:1518462415
Name:NGANJE, CHARLOTTE-TREASURE ATEH (FNP)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE-TREASURE
Middle Name:ATEH
Last Name:NGANJE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7306 WINTERGREEN CT
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2471
Mailing Address - Country:US
Mailing Address - Phone:240-350-9244
Mailing Address - Fax:
Practice Address - Street 1:7231 HANOVER PKWY STE A
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2027
Practice Address - Country:US
Practice Address - Phone:301-220-0866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-24
Last Update Date:2018-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR182967363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily