Healthcare Provider Details

I. General information

NPI: 1063117984
Provider Name (Legal Business Name): AUGUSTA UWAEME
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 06/02/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 HOWARD RD SE
WASHINGTON DC
20020-4406
US

IV. Provider business mailing address

1445 HOWARD RD SE
WASHINGTON DC
20020-4406
US

V. Phone/Fax

Practice location:
  • Phone: 202-803-3988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR219530
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP1038150
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: