MEDICARE: DELPHINE NGUANYI

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	172V00000X	Community Health Worker
2	374U00000X	Home Health Aide	HHA11787	DC
3	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1477919892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELPHINE NGUANYI

Provider Business Mailing Address
First Line	:	6021 67TH AVE
Second Line	:
City	:	RIVERDALE
State	:	MD
Zip	:	20737-1765
Country	:	US
Telephone Number	:	646-385-9271
Fax Number	:

Provider Business Practice Location Address
First Line	:	6021 67TH AVE
Second Line	:
City	:	RIVERDALE
State	:	MD
Zip	:	20737-1765
Country	:	US
Telephone Number	:	646-385-9271
Fax Number	:

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

Provider Enumeration Date	:	01/14/2016
Last Update Date	:	06/08/2023

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Directions to “ DELPHINE NGUANYI ” Practice Location

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