Provider Demographics
NPI:1598406043
Name:NKENGNO, SYLVIE
Entity Type:Individual
Prefix:
First Name:SYLVIE
Middle Name:
Last Name:NKENGNO
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 1:11230 CHERRY HILL RD APT 304
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3834
Mailing Address - Country:US
Mailing Address - Phone:240-784-3382
Mailing Address - Fax:
Practice Address - Street 1:11230 CHERRY HILL RD APT 304
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3834
Practice Address - Country:US
Practice Address - Phone:240-784-3382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide