Healthcare Provider Details

I. General information

NPI: 1598676173
Provider Name (Legal Business Name): CLAUDETTE NGWA AWAH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13906 PECAN RIDGE WAY
BOWIE MD
20715-1080
US

IV. Provider business mailing address

13906 PECAN RIDGE WAY
BOWIE MD
20715-1080
US

V. Phone/Fax

Practice location:
  • Phone: 301-613-0930
  • Fax:
Mailing address:
  • Phone: 301-613-0930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: