Healthcare Provider Details

I. General information

NPI: 1093445462
Provider Name (Legal Business Name): ABONGE GEORGETTE NGEMBUS-NIHNGIEH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABONGE GEORGETTE NGEMBUSNIHNGIEH FNP-C

II. Dates (important events)

Enumeration Date: 06/16/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1785 S HAYES ST
ARLINGTON VA
22202-2714
US

IV. Provider business mailing address

6 E EAGER ST
BALTIMORE MD
21202-2506
US

V. Phone/Fax

Practice location:
  • Phone: 703-920-5700
  • Fax:
Mailing address:
  • Phone: 248-343-0358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024184352
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: