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NPI Code Detail

MEDICARE: ELAINE NTIM

MEDICARE: ELAINE NTIM
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
1163WC0400XCase Management Registered Nurse0001312721VA

General Provider Information

NPI Number : 1326706326
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE NTIM
Provider Business Mailing Address
First Line : 370 E DIAMOND AVE APT 3001
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20877-3147
Country : US
Telephone Number : 301-400-1343
Fax Number :
Provider Business Practice Location Address
First Line : 8901 ROCKVILLE PIKE
Second Line :
City : BETHESDA
State : MD
Zip : 20889-0001
Country : US
Telephone Number : 301-400-1343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2021
Last Update Date : 12/18/2025

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Directions to “ ELAINE NTIM ” Practice Location

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