Individual ProviderJosue NguefackNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address12104 Fallen Timbers Cir, Hagerstown, MD 21740-1083(240) 281-6177PECOS EnrollmentBased on the most recent information from CMS, provider Josue Nguefack does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:58 AM.Profile DetailsProvider ID1558016832Provider TypeIndividualFull NameNguefack, JosueCredentialNPGenderMaleSole ProprietorYesEnumeration Date2/15/2022Last Updated2/15/2022Contact InformationPractice LocationPractice Address12104 Fallen Timbers Cir, Hagerstown, MD 21740-1083Phone(240) 281-6177FaxUnlisted FaxMailing LocationMailing Address12104 Fallen Timbers Cir, Hagerstown, MD 21740-1083Phone(240) 281-6177FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR217854Maryland