Provider Demographics
NPI:1861227910
Name:PREMPEH, HARRIET
Entity type:Individual
Prefix:
First Name:HARRIET
Middle Name:
Last Name:PREMPEH
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 1:5513 SMITA PL
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2475
Mailing Address - Country:US
Mailing Address - Phone:240-516-6342
Mailing Address - Fax:877-667-6747
Practice Address - Street 1:5513 SMITA PL
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2475
Practice Address - Country:US
Practice Address - Phone:240-516-6342
Practice Address - Fax:877-667-6747
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR4128253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care