Provider Demographics
NPI:1821492984
Name:NGANSI, DANILLE HORTENSE
Entity Type:Individual
Prefix:MRS
First Name:DANILLE
Middle Name:HORTENSE
Last Name:NGANSI
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 1:4704 68TH PL
Mailing Address - Street 2:
Mailing Address - City:LANDOVER HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1405
Mailing Address - Country:US
Mailing Address - Phone:202-615-7847
Mailing Address - Fax:
Practice Address - Street 1:4704 68TH PL
Practice Address - Street 2:
Practice Address - City:LANDOVER HILLS
Practice Address - State:MD
Practice Address - Zip Code:20784-1405
Practice Address - Country:US
Practice Address - Phone:202-615-7847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-18
Last Update Date:2014-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA10857374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide