Provider Demographics
NPI:1780562421
Name:NKWAIN, PRISCA KEH
Entity type:Individual
Prefix:
First Name:PRISCA
Middle Name:KEH
Last Name:NKWAIN
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 1:7823 MANDAN RD APT 304
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2144
Mailing Address - Country:US
Mailing Address - Phone:240-714-2730
Mailing Address - Fax:
Practice Address - Street 1:7823 MANDAN RD APT 304
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2144
Practice Address - Country:US
Practice Address - Phone:240-714-2730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator