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NPI Code Detail

MEDICARE: MARCEL NODEM NGNINPOUA

MEDICARE: MARCEL NODEM NGNINPOUA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's AideMD
2171M00000XCase Manager/Care Coordinator
3374U00000XHome Health AideHHA200002141DC

General Provider Information

NPI Number : 1962094870
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCEL NODEM NGNINPOUA
Provider Business Mailing Address
First Line : 6475 NEW HAMPSHIRE AVE STE 504F
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-3277
Country : US
Telephone Number : 240-273-5470
Fax Number :
Provider Business Practice Location Address
First Line : 6475 NEW HAMPSHIRE AVE STE 504F
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-3277
Country : US
Telephone Number : 240-273-5470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2021
Last Update Date : 01/05/2026

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Directions to “ MARCEL NODEM NGNINPOUA ” Practice Location

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