CONSTANCE OFUNDEM TAKANG


Address: 110 Emerald Lake Ct, Fayetteville, GA 30215-7747
Phone: 4046416069

CONSTANCE OFUNDEM TAKANG (NPI# 1316555642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316555642
Entity Type Individual
Full Name CONSTANCE OFUNDEM TAKANG
Credential NP
Practice Address 110 Emerald Lake Ct
Fayetteville
GA 30215-7747
Practice Telephone 4046416069
Enumeration Date 2020-07-22
Last Update Date 2020-07-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F03200096 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 110 EMERALD LAKE CT
City FAYETTEVILLE
State GA
Zip Code 30215-7747

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801370051 Truly Nourished, LLC Dietitian, Registered 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 2018-09-23
1104343839 Pandora G Brown Specialist 65 Black Watch Ct, Fayetteville, GA 30215 2017-08-23
1902264492 Ty-re Lamont Dixon Sr. Durable Medical Equipment & Medical Supplies 220 Shoreline Dr., Fayetteville, GA 30215 2016-01-29
1962870030 Matthew Christian Alvarez Dentist 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 2015-09-08
1831534346 Kevin Tyler Goelz Radiology 605 Wentworth Ct, Fayetteville, GA 30215 2013-05-10
1518249739 William J. Holcomb Pharmacist 880 Hwy 85 South, Fayetteville, GA 30215 2011-09-14
1407168131 All Care Home Health Equipment, LLC Durable Medical Equipment & Medical Supplies 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 2010-07-10
1083854160 Rachel Blanks Licensed Practical Nurse 170 Brookwood Lane, Fayetteville, GA 30215 2009-03-02
1093964975 Brenda Carole Hayek Nurse Practitioner 735 Glynn Street S, Fayetteville, GA 30215 2008-09-16
1174700769 Katheryn D. Mcdonell Counselor 110 Dawn Drive, Fayetteville, GA 30215 2008-01-25
Find all providers in zip 30215

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528674181 Maggie Mullican Nurse Practitioner 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 2020-09-18
1720690167 Stephen Arthur Lepak Nurse Practitioner 6871 Appleton Dr, Fayetteville, PA 17222-9383 2020-08-18
1750990255 Towauna Daya Nurse Practitioner 1338 Redwine Rd, Fayetteville, GA 30215-2509 2020-07-30
1851916472 Breanna Mills Nurse Practitioner 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 2020-06-09
1922621069 Laura Sarai Perez Nurse Practitioner 480 Lees Lake Rd, Fayetteville, GA 30214-3106 2020-05-23
1902431125 Crystal Baker English Nurse Practitioner 113 Old Bethel Rd, Fayetteville, TN 37334-6186 2020-03-09
1568092708 Stephanie Elizabeth Fields Nurse Practitioner 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 2020-01-15
1437616364 Andrea Teal Bergman Nurse Practitioner Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 2019-02-27
1639634447 Arica Adams-gro'ce Nurse Practitioner 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 2019-02-06
1821561432 Devalben Amin Nurse Practitioner 2760 Creek Meadows Pl Apt 71, Fayetteville, NC 28304-3480 2019-01-07
Find all providers in FAYETTEVILLE

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 30215

Improve Information

Please comment or provide details below to improve the information on CONSTANCE OFUNDEM TAKANG.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches