Provider Demographics
NPI:1942987599
Name:NGIEH, JUDITH
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:NGIEH
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 1:4807 TYLERS HOPE DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-6303
Mailing Address - Country:US
Mailing Address - Phone:240-821-2078
Mailing Address - Fax:
Practice Address - Street 1:4807 TYLERS HOPE DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-6303
Practice Address - Country:US
Practice Address - Phone:240-821-2078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-04
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP43536164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse