Provider Demographics
NPI:1003442088
Name:NJOGU, DANIEL (LPN)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:NJOGU
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C11 SCOTTY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1224
Mailing Address - Country:US
Mailing Address - Phone:978-237-1572
Mailing Address - Fax:
Practice Address - Street 1:C11 SCOTTY HOLLOW DR
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1224
Practice Address - Country:US
Practice Address - Phone:978-237-1572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-21
Last Update Date:2020-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN88704164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty