Marcelle A Wandji Fandio Mbami, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN1006917 Issued in DC

Practice address

1707 L St NW
Suite 900
Washington, DC 20036-4201

Phone

(202) 829-1111

NPI assigned

Apr 11, 2012

Last updated

Apr 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1790041077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 L ST NW",
            "address_2": "SUITE 900",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364201",
            "telephone_number": "301-272-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 L ST NW",
            "address_2": "SUITE 900",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364201",
            "telephone_number": "202-829-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANDIO MBAMI",
        "first_name": "MARCELLE",
        "middle_name": "A WANDJI",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1006917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth L Fan, M.D.
• Shu Fan, ACUPUNCTURIST
• Joachim Michael Fanale, MD
• Nasser Cedric Fanche
• Stella Fanda, HHA
• Viviane F Fando
• Delphine Fangamou
• Felix Fangamou
• Rose Fangamou, HHA
• Gilles Fangmo

• Licensed Practical Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Licensed Practical Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.