Provider Demographics
NPI:1841085768
Name:NDELOH, BRIDGET ATABONGNKENG
Entity type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:ATABONGNKENG
Last Name:NDELOH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 GREENSPRING DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1787
Mailing Address - Country:US
Mailing Address - Phone:614-209-0644
Mailing Address - Fax:
Practice Address - Street 1:260 GREENSPRING DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1787
Practice Address - Country:US
Practice Address - Phone:614-209-0644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program