Individual
MS. SOLANGE N MISSIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
2508 DIDCOT CT, BOWIE, MD 20721-2978
(301) 272-5100
(202) 920-1223
Mailing address
2508 DIDCOT CT, BOWIE, MD 20721-2978
(301) 272-5100
(202) 920-1223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1025932
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP1025932
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/18/2012
Last updated
01/30/2025
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