Provider Demographics
NPI:1205174661
Name:NGERE, TINA (HOME HEALTH AIDE)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:NGERE
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9871 GOOD LUCK RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3206
Mailing Address - Country:US
Mailing Address - Phone:301-653-4766
Mailing Address - Fax:
Practice Address - Street 1:9871 GOOD LUCK RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3206
Practice Address - Country:US
Practice Address - Phone:301-653-4766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-19
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide