Provider Demographics
NPI:1881452670
Name:NANJEH, SAMMY NGOEH
Entity type:Individual
Prefix:
First Name:SAMMY
Middle Name:NGOEH
Last Name:NANJEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11306 BIRKDALE CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-5202
Mailing Address - Country:US
Mailing Address - Phone:240-636-3689
Mailing Address - Fax:
Practice Address - Street 1:11306 BIRKDALE CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-5202
Practice Address - Country:US
Practice Address - Phone:240-636-3689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide