Provider Demographics
NPI:1720726946
Name:NGEWA, REBEKAH NDINDA (CNM)
Entity type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:NDINDA
Last Name:NGEWA
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:40 PEACHTREE VALLEY RD NE APT 1813
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-8008
Mailing Address - Country:US
Mailing Address - Phone:404-913-3454
Mailing Address - Fax:
Practice Address - Street 1:40 PEACHTREE VALLEY RD NE APT 1813
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-8008
Practice Address - Country:US
Practice Address - Phone:404-913-3454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN290233207V00000X, 363LX0001X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology