Provider Demographics
NPI:1316282908
Name:MAKAMTE, VANESSA NKWETAD
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:NKWETAD
Last Name:MAKAMTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8028 ALLOWAY LN
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-6323
Mailing Address - Country:US
Mailing Address - Phone:240-444-9928
Mailing Address - Fax:
Practice Address - Street 1:8028 ALLOWAY LN
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-6323
Practice Address - Country:US
Practice Address - Phone:240-444-9928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide