Provider Demographics
NPI:1770015794
Name:NDINGUE, GINETTE FLORE (NP)
Entity Type:Individual
Prefix:MRS
First Name:GINETTE
Middle Name:FLORE
Last Name:NDINGUE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 HIGH TIMBER CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3270
Mailing Address - Country:US
Mailing Address - Phone:240-893-1889
Mailing Address - Fax:
Practice Address - Street 1:10810 DARNESTOWN RD STE 202
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2601
Practice Address - Country:US
Practice Address - Phone:301-424-1780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR175462363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily