Healthcare Provider Details

I. General information

NPI: 1346021425
Provider Name (Legal Business Name): MS. ABIGAIL FIEH NJINGUM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2023
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5029 57TH AVE APT 101
BLADENSBURG MD
20710-1636
US

IV. Provider business mailing address

2811 PENNSYLVANIA AVE SE
WASHINGTON DC
20020-3865
US

V. Phone/Fax

Practice location:
  • Phone: 202-379-6141
  • Fax:
Mailing address:
  • Phone: 202-894-6811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: