Healthcare Provider Details

I. General information

NPI: 1982531554
Provider Name (Legal Business Name): CHRISTELLE AFOAWUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 LENFANT SQ SE
WASHINGTON DC
20020-6724
US

IV. Provider business mailing address

6810 ASHLEYS CROSSING CT
TEMPLE HILLS MD
20748-5212
US

V. Phone/Fax

Practice location:
  • Phone: 202-269-2401
  • Fax:
Mailing address:
  • Phone: 508-373-3924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLP59363
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: