Provider Demographics
NPI:1902645856
Name:ATEMBE, CONSTANCE MBE FUET
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:MBE FUET
Last Name:ATEMBE
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 1:2410 BRIGHTSEAT RD APT 2
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3545
Mailing Address - Country:US
Mailing Address - Phone:301-461-5013
Mailing Address - Fax:
Practice Address - Street 1:2410 BRIGHTSEAT RD APT 2
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-3545
Practice Address - Country:US
Practice Address - Phone:301-461-5013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide