Provider Demographics
NPI:1407641194
Name:NGAM NGWARI KAMNE, MARIA ANNUNCIATION (CNA)
Entity type:Individual
Prefix:
First Name:MARIA ANNUNCIATION
Middle Name:
Last Name:NGAM NGWARI KAMNE
Suffix:
Gender:
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:898 NE 164TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4446
Mailing Address - Country:US
Mailing Address - Phone:954-709-0458
Mailing Address - Fax:
Practice Address - Street 1:898 NE 164TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4446
Practice Address - Country:US
Practice Address - Phone:954-709-0458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA452681376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide