IndividualActive
Donald Shu-Nyamboli
NPI 1275897860 · Community Health Worker · College Park, MD
Provider details
- NPI number
- 1275897860
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
Practice location
4920 Niagara Rd
4920 Niagara Road
College Park, MD 20740-1110
Phone: (301) 982-6477
Fax: (301) 982-6477
Approximate (ZIP-level) locationGet directions
Mailing address
4920 Niagara Rd
College Park, MD 20740-1110
Registry dates
- Enumerated
- 2012-06-27
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.