Doctor Name: | MRS. LAURE NDEUTCHOUA |
NPI Number: | 1013302728 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | F0315095 |
Business Practice Address: | 6325 Kinsey Ter Lanham, MD - 207062396 |
Business Phone Number: | 2403838705 |
Business Fax Number: | 2028291571 |
Mailing Address: | 6325 Kinsey Ter, LANHAM |
State: | MD |
Postal Code: | 207062396 |
Phone Number: | 2403838705 |
Fax Number: | 2028291571 |
NPI Enumeration Date: | 03/30/2015 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F0315095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |