Healthcare Provider Details

I. General information

NPI: 1619831161
Provider Name (Legal Business Name): AMANDINE C NAHO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

569 RUTHERFORD AVE
TRENTON NJ
08618-4429
US

IV. Provider business mailing address

971 US HIGHWAY 202 N STE N
BRANCHBURG NJ
08876-3757
US

V. Phone/Fax

Practice location:
  • Phone: 267-465-1113
  • Fax:
Mailing address:
  • Phone: 215-602-1555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: