Healthcare Provider Details

I. General information

NPI: 1376207944
Provider Name (Legal Business Name): SONIA NJINGNA NGALEU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW
WASHINGTON DC
20010-2927
US

IV. Provider business mailing address

106 IRVING ST NW
WASHINGTON DC
20010-2927
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-0698
  • Fax: 202-877-6959
Mailing address:
  • Phone: 202-877-0698
  • Fax: 202-877-6959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR213296
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: