Provider Demographics
NPI:1508553652
Name:YOUMENE EPSE NYAMBI, DINDA DELMA
Entity type:Individual
Prefix:
First Name:DINDA DELMA
Middle Name:
Last Name:YOUMENE EPSE NYAMBI
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 1:3801 KENILWORTH AVE APT 102E
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-2121
Mailing Address - Country:US
Mailing Address - Phone:240-564-0587
Mailing Address - Fax:
Practice Address - Street 1:3801 KENILWORTH AVE APT 102E
Practice Address - Street 2:
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-2121
Practice Address - Country:US
Practice Address - Phone:240-564-0587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171M00000XOther Service ProvidersCase Manager/Care Coordinator