Provider Demographics
NPI:1750196663
Name:NDOFOR, ANDANGCHWI SEROPHINE
Entity type:Individual
Prefix:
First Name:ANDANGCHWI
Middle Name:SEROPHINE
Last Name:NDOFOR
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 1:6800 GEORGIA AVE NW APT 205
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2667
Mailing Address - Country:US
Mailing Address - Phone:202-716-6288
Mailing Address - Fax:
Practice Address - Street 1:2115 5TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1225
Practice Address - Country:US
Practice Address - Phone:202-352-1091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLPN200002955164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse