Provider Demographics
NPI:1750093027
Name:NAMBOUH, NEHLA LANGNUI
Entity type:Individual
Prefix:
First Name:NEHLA
Middle Name:LANGNUI
Last Name:NAMBOUH
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 1:28 CHURCH ST STE 14
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2538
Mailing Address - Country:US
Mailing Address - Phone:781-513-6531
Mailing Address - Fax:
Practice Address - Street 1:28 CHURCH ST STE 14
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2538
Practice Address - Country:US
Practice Address - Phone:781-513-6531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN271478163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse