Provider Demographics
NPI:1649694852
Name:NDIFON, PATIENCE NEGICHEU (RN)
Entity type:Individual
Prefix:MISS
First Name:PATIENCE
Middle Name:NEGICHEU
Last Name:NDIFON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:PATIENCE
Other - Middle Name:NEGICHEU
Other - Last Name:NDIFON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6320 BRIGHTLEA DR
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2866
Mailing Address - Country:US
Mailing Address - Phone:240-467-0523
Mailing Address - Fax:
Practice Address - Street 1:2811 PENNSYLVANIA AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3865
Practice Address - Country:US
Practice Address - Phone:202-893-6811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-07
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1057267163W00000X
DCHHA10290374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No374U00000XNursing Service Related ProvidersHome Health Aide