MEDICARE: HELLEN KAMANGA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R2415570	MD
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP1054018	DC

General Provider Information

NPI Number	:	1043913924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELLEN KAMANGA

Provider Business Mailing Address
First Line	:	4340 E WEST HWY
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4411
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4340 E WEST HWY
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4411
Country	:	US
Telephone Number	:	240-579-5644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2023
Last Update Date	:	12/19/2025

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Directions to “ HELLEN KAMANGA ” Practice Location

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