Provider Demographics
NPI:1578824389
Name:TANGYIE, ESTHER S
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:S
Last Name:TANGYIE
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 1:16400 ANDREA CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1586
Mailing Address - Country:US
Mailing Address - Phone:301-789-2543
Mailing Address - Fax:
Practice Address - Street 1:16400 ANDREA CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1586
Practice Address - Country:US
Practice Address - Phone:301-789-2543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide