Provider Demographics
NPI:1568729192
Name:NDANSI, MORINE N
Entity Type:Individual
Prefix:
First Name:MORINE
Middle Name:N
Last Name:NDANSI
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 1:9615 MOUNT PISGAH RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2328
Mailing Address - Country:US
Mailing Address - Phone:240-533-7056
Mailing Address - Fax:
Practice Address - Street 1:9615 MOUNT PISGAH RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2328
Practice Address - Country:US
Practice Address - Phone:240-533-7056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide