Provider Demographics
NPI:1679044564
Name:NJAPA, PHILOMINA NGANKU (RN)
Entity Type:Individual
Prefix:
First Name:PHILOMINA
Middle Name:NGANKU
Last Name:NJAPA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PHILOMINA-MARY
Other - Middle Name:
Other - Last Name:NJAPA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:580 EAGLE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3727
Mailing Address - Country:US
Mailing Address - Phone:516-265-2215
Mailing Address - Fax:
Practice Address - Street 1:580 EAGLE AVE
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3727
Practice Address - Country:US
Practice Address - Phone:516-265-2215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY760941163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse