Provider Demographics
NPI:1811732969
Name:NFORBI, NEREUS
Entity type:Individual
Prefix:
First Name:NEREUS
Middle Name:
Last Name:NFORBI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9416 SPRING HOUSE LN APT I
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3280
Mailing Address - Country:US
Mailing Address - Phone:240-831-2953
Mailing Address - Fax:
Practice Address - Street 1:9416 SPRING HOUSE LN APT I
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-3280
Practice Address - Country:US
Practice Address - Phone:240-831-2953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-29
Last Update Date:2024-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator