Provider Demographics
NPI:1811618846
Name:TSAFACK, ANNE MINETTE TEUMENA (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MINETTE TEUMENA
Last Name:TSAFACK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 HIGHMEADOW RD
Mailing Address - Street 2:MD 21136
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136
Mailing Address - Country:US
Mailing Address - Phone:301-281-3587
Mailing Address - Fax:
Practice Address - Street 1:304 HIGHMEADOW RD
Practice Address - Street 2:MD 21136
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136
Practice Address - Country:US
Practice Address - Phone:301-281-3587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker