Individual
TINA BONGNWI NGATOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 MLK JR AVE SW, WASHINGTON, DC 20032-4933
(202) 318-0179
Mailing address
13920 CASTLE BLVD APT 310, SILVER SPRING, MD 20904-4958
(301) 256-7581
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
500339469
DC
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN500339469
DC
171M00000X
Case Manager/Care Coordinator
—
DC
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/16/2023
Last updated
02/23/2026
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