Provider Demographics
NPI:1285339838
Name:NGUASONG, DELPHINE ANYIAMIN (RN)
Entity type:Individual
Prefix:
First Name:DELPHINE
Middle Name:ANYIAMIN
Last Name:NGUASONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DELPHINE
Other - Middle Name:ANYIAMIN
Other - Last Name:ALEMNJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:157 BALTIMORE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2472
Mailing Address - Country:US
Mailing Address - Phone:301-722-0484
Mailing Address - Fax:833-903-0130
Practice Address - Street 1:157 BALTIMORE ST STE 100
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2472
Practice Address - Country:US
Practice Address - Phone:301-722-0484
Practice Address - Fax:833-903-0130
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN500007659163WC1500X
MDR219219363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health