Healthcare Provider Details

I. General information

NPI: 1821753765
Provider Name (Legal Business Name): VALERY NGUH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2021
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4645 NANNIE HELEN BURROUGHS AVE NE DC SUITE 308
WASHINGTON DC
20019
US

IV. Provider business mailing address

15001 JERIMIAH LN
BOWIE MD
20721-7224
US

V. Phone/Fax

Practice location:
  • Phone: 240-481-5212
  • Fax:
Mailing address:
  • Phone: 240-481-5212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN1039623
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberR219761
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License NumberR219761
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberRN1039623
License Number StateDC
# 5
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1039623
License Number StateDC
# 6
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN1039623
License Number StateDC
# 7
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberR219761
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: