Provider Demographics
NPI:1336918937
Name:ANGYE, JURENCE NGOH
Entity Type:Individual
Prefix:
First Name:JURENCE
Middle Name:NGOH
Last Name:ANGYE
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 1:23 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-2622
Mailing Address - Country:US
Mailing Address - Phone:762-241-2649
Mailing Address - Fax:
Practice Address - Street 1:23 18TH AVE
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-2622
Practice Address - Country:US
Practice Address - Phone:762-241-2649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2388762163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management