1982054375 NPI number — ELIZABETH AMBANG NYAMBI EPSE AKOH D.C

Table of content: ELIZABETH AMBANG NYAMBI EPSE AKOH D.C (NPI 1982054375)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982054375 NPI number — ELIZABETH AMBANG NYAMBI EPSE AKOH D.C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NYAMBI EPSE AKOH
Provider First Name:
ELIZABETH
Provider Middle Name:
AMBANG
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
AKOH
Provider Other First Name:
ELIZABATH
Provider Other Middle Name:
AMBANG
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.C
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1982054375
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/22/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5243 KENILWORTH AVE APT 301
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HYATTSVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20781-2860
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-763-1710
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5243 KENILWORTH AVE APT 301
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HYATTSVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20781-2860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-763-1710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 374U00000X , with the licence number:  HHA11574 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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