Provider Demographics
NPI:1366797987
Name:CHINKOU, NATHALIE ELISE
Entity type:Individual
Prefix:
First Name:NATHALIE
Middle Name:ELISE
Last Name:CHINKOU
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 1:11235 OAK LEAF DR
Mailing Address - Street 2:APT 919
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1318
Mailing Address - Country:US
Mailing Address - Phone:202-509-6357
Mailing Address - Fax:301-238-4714
Practice Address - Street 1:11235 OAK LEAF DR
Practice Address - Street 2:APT 919
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1318
Practice Address - Country:US
Practice Address - Phone:202-509-6357
Practice Address - Fax:301-238-4714
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC6176374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide