Healthcare Provider Details

I. General information

NPI: 1710823406
Provider Name (Legal Business Name): NKIANGU ALETHIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20912 OLYMPIA CT
LEXINGTON PK MD
20653-4404
US

IV. Provider business mailing address

20912 OLYMPIA CT
LEXINGTON PK MD
20653-4404
US

V. Phone/Fax

Practice location:
  • Phone: 240-729-2672
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200006368
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: