IndividualActive
Angelina Mbaw
NPI 1417634155 · Licensed Practical Nurse · Washington, DC
Provider details
- NPI number
- 1417634155
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPN1006811 (DC)
Specialties & taxonomies
Nursing Service Providers
Practice location
2811 Pennsylvania Ave Se
Washington, DC 20020-3865
Phone: (202) 894-6811
Approximate (ZIP-level) locationGet directions
Mailing address
13504 Ulysses Ct
Bowie, MD 20720-5408
Registry dates
- Enumerated
- 2023-07-04
- Last updated
- 2023-07-21
- Certified
- 2023-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.