Provider Demographics
NPI:1922783554
Name:LOKA NDEMA, NANCELLE ASTRIDE (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCELLE ASTRIDE
Middle Name:
Last Name:LOKA NDEMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:846 CAMEO CT
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-8302
Mailing Address - Country:US
Mailing Address - Phone:812-917-1231
Mailing Address - Fax:
Practice Address - Street 1:355 BARD AVE DEPT OF
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1664
Practice Address - Country:US
Practice Address - Phone:812-917-1231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program