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NPI Code Detail

MEDICARE: VANESIA SIKE KOFELE NGAPETH

MEDICARE: VANESIA SIKE KOFELE NGAPETH
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR248615MD

General Provider Information

NPI Number : 1720836828
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESIA SIKE KOFELE NGAPETH
Provider Business Mailing Address
First Line : 652 HARRY S TRUMAN DR
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-2068
Country : US
Telephone Number : 240-593-9229
Fax Number :
Provider Business Practice Location Address
First Line : 9475 LOTTSFORD RD STE 250
Second Line :
City : LARGO
State : MD
Zip : 20774-5346
Country : US
Telephone Number : 301-636-6504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2024
Last Update Date : 01/05/2026

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Directions to “ VANESIA SIKE KOFELE NGAPETH ” Practice Location

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