AGATHA IFEYINWA NWANGWU


Address: 7406 9th St Nw, Washington, DC 20012-1702
Phone: 3019961230

AGATHA IFEYINWA NWANGWU (NPI# 1760016398) 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) 1760016398
Entity Type Individual
Full Name AGATHA IFEYINWA NWANGWU
Credential PMHNP-BC
Practice Address 7406 9th St Nw
Washington
DC 20012-1702
Practice Telephone 3019961230
Mailing Telephone 3019961230
Enumeration Date 2020-02-22
Last Update Date 2020-02-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
2019074447 DC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7406 9TH ST NW
City WASHINGTON
State DC
Zip Code 20012-1702

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20012

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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.

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