Provider Demographics
NPI:1770844490
Name:NDE, JULIETTE (HHA)
Entity Type:Individual
Prefix:
First Name:JULIETTE
Middle Name:
Last Name:NDE
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7865 RIVERDALE RD APT T3
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-4033
Mailing Address - Country:US
Mailing Address - Phone:240-280-9885
Mailing Address - Fax:
Practice Address - Street 1:7865 RIVERDALE RD APT T3
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-4033
Practice Address - Country:US
Practice Address - Phone:240-280-9885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide