Healthcare Provider Details

I. General information

NPI: 1760743397
Provider Name (Legal Business Name): DAVID NSIMBO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 05/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 NEW YORK AVE GLOBAL HEALTHCARE INC. SUITE 117
NE DC
20002
US

IV. Provider business mailing address

1818 NEW YORK AVE GLOBAL HEALTHCARE INC. SUITE 117
NE DC
20002
US

V. Phone/Fax

Practice location:
  • Phone: 202-480-0813
  • Fax: 202-503-2363
Mailing address:
  • Phone: 202-480-0813
  • Fax: 202-503-2363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN1022820
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: