MEDICARE: ANAELLE NAFISSATOU NDOYE

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	246ZE0600X	Electroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number	:	1962352948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAELLE NAFISSATOU NDOYE

Provider Business Mailing Address
First Line	:	4 DEVOL AVE
Second Line	:
City	:	WESTPORT
State	:	MA
Zip	:	02790
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9811 W CHARLESTON BLVD STE 2-641
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7528
Country	:	US
Telephone Number	:	855-864-4322
Fax Number	:

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

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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Directions to “ ANAELLE NAFISSATOU NDOYE ” Practice Location

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