Healthcare Provider Details

I. General information

NPI: 1861890279
Provider Name (Legal Business Name): VERA ALEMFUA NYIAWUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VERA AWUNGANYI

II. Dates (important events)

Enumeration Date: 12/17/2014
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-5732
US

IV. Provider business mailing address

8501 SHELLEY CT
BOWIE MD
20720-4472
US

V. Phone/Fax

Practice location:
  • Phone: 202-563-7632
  • Fax:
Mailing address:
  • Phone: 240-755-3265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN200006617
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN200006617
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number11017
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: