Christian Agaruwa

Individual provider Active NPI Licensed Practical Nurse · Washington, DC

NPI 1194130153 · NPPES record last updated Jun 27, 2014

Key facts

NPI
1194130153
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN1005395 (DC)
Practice address
6856 Eastern Ave NW
Washington, DC 20012-2165
Phone
(202) 541-9844
NPI assigned
Jun 27, 2014
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
LPN1005395DCMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1005395 DC Yes

Addresses

Primary practice location

6856 Eastern Ave NW
Washington, DC 20012-2165

Mailing address

6856 Eastern Ave NW
Washington, DC 20012-2165

Other providers in Washington, DC

All providers in Washington, DC · Licensed Practical Nurse in District of Columbia

Sources for this page

Verify at the official NPI Registry.