Provider Demographics
NPI:1255150736
Name:NSOH AWASOM, DELPHINE
Entity type:Individual
Prefix:
First Name:DELPHINE
Middle Name:
Last Name:NSOH AWASOM
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 1:8432 FIELDSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4778
Mailing Address - Country:US
Mailing Address - Phone:737-717-7282
Mailing Address - Fax:
Practice Address - Street 1:8432 FIELDSTONE WAY
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-4778
Practice Address - Country:US
Practice Address - Phone:737-717-7282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker