Healthcare Provider Details

I. General information

NPI: 1093258998
Provider Name (Legal Business Name): FLORENCE NGUH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2016
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7404 EXECUTIVE PL STE 100
LANHAM MD
20706-6237
US

IV. Provider business mailing address

7404 EXECUTIVE PL STE 100
LANHAM MD
20706-6237
US

V. Phone/Fax

Practice location:
  • Phone: 240-758-1782
  • Fax: 240-260-3830
Mailing address:
  • Phone: 240-758-1782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR135512
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: