Provider Demographics
NPI:1770122988
Name:NDAM, ROPHINE
Entity type:Individual
Prefix:
First Name:ROPHINE
Middle Name:
Last Name:NDAM
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 1:9003 BRIGHTLEA CT
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2844
Mailing Address - Country:US
Mailing Address - Phone:240-906-2654
Mailing Address - Fax:
Practice Address - Street 1:3929 WARNER AVE APT C5
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-2064
Practice Address - Country:US
Practice Address - Phone:240-906-2654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN500125566163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse