Individual provider · Type 1 NPI
Basil Teghen Ndum, RN
Administrator Registered Nurse · Upper Marlboro, MD
NPI number
1063225142
Active
Practice location
9105 Jousting Ln
Upper Marlboro, MD 20772-4388
Mailing address
3301 Richmond Hwy
Alexandria, VA 22305-3044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 0001301762 (VA) |
Administrator Registered Nurse: Definition to come...
2 other providers at this address
About NPI 1063225142
Basil Teghen Ndum, RN's National Provider Identifier is 1063225142, issued on Jan 31, 2025. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Jan 31, 2025.