Provider Demographics
NPI:1740042647
Name:NGENYI, CHRISTIANCIA NKEMTOH
Entity type:Individual
Prefix:
First Name:CHRISTIANCIA
Middle Name:NKEMTOH
Last Name:NGENYI
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 1:5603 JOYCE PL
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-1645
Mailing Address - Country:US
Mailing Address - Phone:240-788-0631
Mailing Address - Fax:
Practice Address - Street 1:5603 JOYCE PL
Practice Address - Street 2:
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-1645
Practice Address - Country:US
Practice Address - Phone:240-788-0631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide