Clovis Tegabone

Case Manager/Care Coordinator · Lanham, MD

Individual Active NPI

NPI number 1992457618

Practice location

9120 Crandall Rd
Lanham, MD 20706-1929
Phone
(307) 851-9357

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NPI record

NPI
1992457618
Entity type
Individual (Type 1)
Enumeration date
January 24, 2022
Last updated
August 7, 2024
Certified
August 7, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Home Health Aide 374U00000X — —

About Clovis Tegabone

Clovis Tegabone is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 9120 Crandall Rd, Lanham, MD 20706-1929. The NPI number 1992457618 was assigned on January 24, 2022 and the record was last updated on August 7, 2024.

Frequently asked questions

What is the NPI number of Clovis Tegabone?

The NPI number is 1992457618.

What is the phone number of Clovis Tegabone?

The phone number listed for the practice location is (307) 851-9357.

Where is Clovis Tegabone located?

9120 Crandall Rd, Lanham, MD 20706-1929.

What is the taxonomy code for Clovis Tegabone?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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