Healthcare Provider Details

I. General information

NPI: 1689501207
Provider Name (Legal Business Name): FELICIA NUNG NGWA EPSE KEHBUMA RN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 15TH ST NE
WASHINGTON DC
20002-4508
US

IV. Provider business mailing address

13900 HAMMERMILL FIELD DR
BOWIE MD
20720-5826
US

V. Phone/Fax

Practice location:
  • Phone: 202-388-8500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1047170
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR234533
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: