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NPI Code Detail

MEDICARE: MR. NELSON NGWA BALINGWE

MEDICARE: MR. NELSON NGWA BALINGWE
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
1163W00000XRegistered NurseRN1049231DC
2101YM0800XMental Health CounselorRN1049231DC

General Provider Information

NPI Number : 1417507203
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NELSON NGWA BALINGWE
Provider Business Mailing Address
First Line : 3341 BENNING RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-1502
Country : US
Telephone Number : 202-758-9347
Fax Number : 202-543-2758
Provider Business Practice Location Address
First Line : 3341 BENNING RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-1502
Country : US
Telephone Number : 202-758-9347
Fax Number : 202-543-2758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2019
Last Update Date : 12/15/2025

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