Individual
BRIDGET J NTUNGWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
143 KENNEDY ST NW STE 16, WASHINGTON, DC 20011-5268
(240) 374-8705
Mailing address
7055 SAMUEL MORSE DRIVE, SUITE 200, COLUMBIA, MD 21046
(667) 701-9534
(301) 917-3225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102-6452
DC
163W00000X
Registered Nurse
RN200255
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1026452
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200255
MD
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1026452
DC
Other
Enumeration date
11/28/2016
Last updated
11/20/2023
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