MEDICARE: FONACHU NUBEDWOE BERTRAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	171M00000X	Case Manager/Care Coordinator	MD
2	171M00000X	Case Manager/Care Coordinator
3	171M00000X	Case Manager/Care Coordinator	DC

General Provider Information

NPI Number	:	1699539833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FONACHU NUBEDWOE BERTRAND

Provider Business Mailing Address
First Line	:	6320 BRIGHTLEA DR
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-2866
Country	:	US
Telephone Number	:	240-429-1046
Fax Number	:

Provider Business Practice Location Address
First Line	:	6320 BRIGHTLEA DR
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-2866
Country	:	US
Telephone Number	:	240-429-1046
Fax Number	:

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

Provider Enumeration Date	:	02/08/2024
Last Update Date	:	02/08/2024

Similar Medicare Providers

1215693692 — IYUNGIJEI NDIFON SANDRA
Practice Location Address:

6320 BRIGHTLEA DR
LANHAM, MD
20706-2866

Practice Phone: 202-386-0644
Practice Fax:

1659184471 — LOH EDWIN AYEAH
Practice Location Address:

6320 BRIGHTLEA DR
LANHAM, MD
20706-2866

Practice Phone: 240-380-4292
Practice Fax:

1306643986 — GLORY AJIUWAI NJOIKOU
Practice Location Address:

6320 BRIGHTLEA DR
LANHAM, MD
20706-2866

Practice Phone: 301-454-9457
Practice Fax:

1073493813 — ABU KAMARA
Practice Location Address:

6312 BRIGHTLEA DR
LANHAM, MD
20706-2866

Practice Phone: 202-723-3060
Practice Fax: 202-723-3065

1871440198 — MS. CLAIRE GANIS
Practice Location Address:

4485 FORBES BLVD
LANHAM, MD
20706-4354

Practice Phone: 301-429-2900
Practice Fax:

1588511703 — KAYLA DEVINE DUNCAN
Practice Location Address:

4400 LOTTSFORD VISTA RD
LANHAM, MD
20706-4818

Practice Phone: 484-965-9966
Practice Fax:

Directions to “ FONACHU NUBEDWOE BERTRAND ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.