Provider Demographics
NPI:1639829807
Name:CONTEH, ALFRED CYRIL (BSN, RN)
Entity Type:Individual
Prefix:
First Name:ALFRED
Middle Name:CYRIL
Last Name:CONTEH
Suffix:
Gender:M
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 RIVER WALK ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-2784
Mailing Address - Country:US
Mailing Address - Phone:703-380-6760
Mailing Address - Fax:
Practice Address - Street 1:1015 RIVER WALK ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-2784
Practice Address - Country:US
Practice Address - Phone:703-380-6760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00012688090163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse