MEDICARE: CHANCELLINE NJUATEH AMIN

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1275359564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANCELLINE NJUATEH AMIN

Provider Business Mailing Address
First Line	:	8400 WOODLAND MANOR DR
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-1900
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8400 WOODLAND MANOR DR
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-1900
Country	:	US
Telephone Number	:	240-581-0204
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2024
Last Update Date	:	12/02/2024

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Directions to “ CHANCELLINE NJUATEH AMIN ” Practice Location

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