Rose Leba Engtamba
Individual provider Active NPI Nurse's Aide · Washington, DC
NPI 1063905628 · NPPES record last updated Jun 8, 2018
Key facts
- NPI
- 1063905628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 2413 21St PL NE Apt 1
Washington, DC 20018-1332 - Phone
- (443) 360-7222
- NPI assigned
- Jun 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide |
376K00000X | Yes |
Addresses
Primary practice location
2413 21St PL NE Apt 1
Washington, DC 20018-1332
Mailing address
2413 21St PL NE Apt 1
Washington, DC 20018-1332
Phone (443) 360-7222
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.