Provider Demographics
NPI:1962239988
Name:NAKPIL, ELLEN
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:NAKPIL
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 1:6811 MIDDLEFIELD TER
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-1516
Mailing Address - Country:US
Mailing Address - Phone:240-988-0979
Mailing Address - Fax:
Practice Address - Street 1:6811 MIDDLEFIELD TER
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-1516
Practice Address - Country:US
Practice Address - Phone:240-988-0979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-14
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRSA-02197253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care