Individual
NELSON NGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6611 STANTON ROAD, HYATTSVILLE, MD 20784
(240) 784-0853
Mailing address
6611 STANTON ROAD, HYATTSVILLE, MD 20784
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R186915
MD
367500000X
Certified Registered Nurse Anesthetist
730014
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
R186915
MD
Other
Enumeration date
12/20/2018
Last updated
10/01/2019
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