Provider Demographics
NPI:1669905006
Name:NANJE, EMILIA MANGU (HHA)
Entity type:Individual
Prefix:
First Name:EMILIA
Middle Name:MANGU
Last Name:NANJE
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9111 SPRINGHILL LN
Mailing Address - Street 2:APT 202
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1212
Mailing Address - Country:US
Mailing Address - Phone:240-413-3235
Mailing Address - Fax:
Practice Address - Street 1:9111 SPRINGHILL LN
Practice Address - Street 2:APT 202
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1212
Practice Address - Country:US
Practice Address - Phone:240-413-3235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA12642374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide