Healthcare Provider Details

I. General information

NPI: 1801310933
Provider Name (Legal Business Name): CHRISTEL NGUFOR AWASIRRI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2017
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ESSENTON DR
UPPER MARLBORO MD
20774-1811
US

IV. Provider business mailing address

101 ESSENTON DR
UPPER MARLBORO MD
20774-1811
US

V. Phone/Fax

Practice location:
  • Phone: 240-413-7381
  • Fax:
Mailing address:
  • Phone: 240-413-7381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: