Provider Demographics
NPI:1730665951
Name:NKAFU, AGNES AKA
Entity Type:Individual
Prefix:
First Name:AGNES
Middle Name:AKA
Last Name:NKAFU
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 1:9017 CONTEE RD APT 302
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2117
Mailing Address - Country:US
Mailing Address - Phone:240-938-0862
Mailing Address - Fax:
Practice Address - Street 1:9017 CONTEE RD APT 302
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708
Practice Address - Country:US
Practice Address - Phone:240-938-0862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-11
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes374U00000XNursing Service Related ProvidersHome Health Aide