NPIMap

Agatha Ekwenife

Individual provider Active NPI Licensed Practical Nurse · Washington, DC

NPI 1760897722 · NPPES record last updated Jun 27, 2014

Key facts

NPI
1760897722
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN1003513 (DC)
Practice address
6856 Eastern Ave NW
Suite 320a
Washington, DC 20012-2165
Phone
(202) 541-9844
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
LPN1003513DCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Linac Services Inc. Past Accepting new patients
Linac Services Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1003513 DC Yes

Addresses

Primary practice location

6856 Eastern Ave NW
Suite 320a
Washington, DC 20012-2165

Mailing address

6856 Eastern Ave NW
Suite 320a
Washington, DC 20012-2165
Phone (202) 541-9844

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.