Provider Demographics
NPI:1841163318
Name:NITCHEU, ANGE CRYSALE DEUSSI
Entity type:Individual
Prefix:
First Name:ANGE CRYSALE
Middle Name:DEUSSI
Last Name:NITCHEU
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 1:11604 LOCKWOOD DR APT T3
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2307
Mailing Address - Country:US
Mailing Address - Phone:240-736-4232
Mailing Address - Fax:
Practice Address - Street 1:11604 LOCKWOOD DR APT T3
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2307
Practice Address - Country:US
Practice Address - Phone:240-736-4232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide