Provider Demographics
NPI:1316749153
Name:NFOGHA, LAURA F
Entity type:Individual
Prefix:MISS
First Name:LAURA F
Middle Name:
Last Name:NFOGHA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8003 E NALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4610
Mailing Address - Country:US
Mailing Address - Phone:240-714-8330
Mailing Address - Fax:
Practice Address - Street 1:8003 E NALLEY RD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-4610
Practice Address - Country:US
Practice Address - Phone:240-714-8330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty