Healthcare Provider Details

I. General information

NPI: 1689355026
Provider Name (Legal Business Name): OSCAR ANTULIO NOGUERA ROJAS DNP, FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 K ST NW WARDS 2
WASHINGTON DC
20001-2385
US

IV. Provider business mailing address

675 K ST NW WARDS 2
WASHINGTON DC
20001-2385
US

V. Phone/Fax

Practice location:
  • Phone: 808-436-9136
  • Fax:
Mailing address:
  • Phone: 202-682-0170
  • Fax: 202-682-2829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP500342815
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: