Provider Demographics
NPI:1568724433
Name:NTUI, CATHERINE AGBOR ETAH
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:AGBOR ETAH
Last Name:NTUI
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 1:6705 22ND PL
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-1754
Mailing Address - Country:US
Mailing Address - Phone:202-492-2137
Mailing Address - Fax:
Practice Address - Street 1:6705 22ND PL
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-1754
Practice Address - Country:US
Practice Address - Phone:202-492-2137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide