Provider Demographics
NPI:1548150378
Name:NTUI AYUK EPSE AGBOR, MAGDALENE OROCK
Entity type:Individual
Prefix:
First Name:MAGDALENE
Middle Name:OROCK
Last Name:NTUI AYUK EPSE AGBOR
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 1:538 RETREAT CT APT H
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1427
Mailing Address - Country:US
Mailing Address - Phone:443-891-7740
Mailing Address - Fax:
Practice Address - Street 1:538 RETREAT CT APT H
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1427
Practice Address - Country:US
Practice Address - Phone:443-891-7740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide