Provider Demographics
NPI:1922868637
Name:AFAMBERE, CHARLOTTE AMBANG
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:AMBANG
Last Name:AFAMBERE
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 SILVERBROOK WAY
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3469
Mailing Address - Country:US
Mailing Address - Phone:240-437-6215
Mailing Address - Fax:
Practice Address - Street 1:4704 SILVERBROOK WAY
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3469
Practice Address - Country:US
Practice Address - Phone:240-437-6215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide