Provider Demographics
NPI:1013302728
Name:NDEUTCHOUA, LAURE B (FNP-C, DNP)
Entity Type:Individual
Prefix:DR
First Name:LAURE
Middle Name:B
Last Name:NDEUTCHOUA
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Gender:F
Credentials:FNP-C, DNP
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Mailing Address - Street 1:6325 KINSEY TER
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2396
Mailing Address - Country:US
Mailing Address - Phone:240-383-8705
Mailing Address - Fax:202-829-1571
Practice Address - Street 1:6401 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3201
Practice Address - Country:US
Practice Address - Phone:301-466-3593
Practice Address - Fax:240-764-5571
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2017-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDF0315095363LF0000X
DCRN1017163363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily