Provider Demographics
NPI:1801151089
Name:ASAMEYONG, BECHEM VIVIAN (PMNP-BC, APNP , NP)
Entity type:Individual
Prefix:
First Name:BECHEM
Middle Name:VIVIAN
Last Name:ASAMEYONG
Suffix:
Gender:F
Credentials:PMNP-BC, APNP , NP
Other - Prefix:
Other - First Name:ARREY
Other - Middle Name:VIVIAN
Other - Last Name:ASAMEYONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6201 GREENBELT RD STE M14
Mailing Address - Street 2:
Mailing Address - City:BERWYN HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2333
Mailing Address - Country:US
Mailing Address - Phone:301-289-7722
Mailing Address - Fax:301-441-2518
Practice Address - Street 1:6201 GREENBELT RD STE M146201
Practice Address - Street 2:
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2354
Practice Address - Country:US
Practice Address - Phone:301-289-7722
Practice Address - Fax:301-441-2518
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR209330363LC1500X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health