Clarisse Fandjo Nupa Epse Mana

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA11262 Issued in DC

Practice address

1070 Copperstone CT # 712
Rockville, MD 20852-1144

Phone

(202) 713-6735

NPI assigned

Jan 5, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1679939870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 COPPERSTONE CT # 712",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521144",
            "telephone_number": "202-713-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 COPPERSTONE CT # 712",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521144",
            "telephone_number": "202-713-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANDJO NUPA EPSE MANA",
        "first_name": "CLARISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluyemisi Adesanya Famuyiwa, M.D.
• Christopher Fan, DO
• Wei Fan, M.D.
• Yangsen Johnson Fan, MD
• Walter Fanburg, MD
• Victoria Fanelli, M.S., C.A.G.S, NCSP
• Liang Fang, D.M.D.
• Fanice Kuaboue Fanzoh
• Arezoo Farahi
• Bahareh Farahifar

• Home Health Aide in Rockville, MD
• Providers in Rockville, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.