Agnes Bwang
Individual provider Active NPI Licensed Practical Nurse · Washington, DC
NPI 1821367368 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1821367368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN200002714 (DC)
- Practice address
- 7600 Georgia Ave NW Ste 323
Washington, DC 20012-1616 - Phone
- (202) 723-3060
- Fax
- (202) 723-3065
- NPI assigned
- Dec 28, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN200002714 | DC | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN200002714 | DC | Yes |
Addresses
Primary practice location
7600 Georgia Ave NW Ste 323
Washington, DC 20012-1616
Mailing address
3500 18TH St NE
Washington, DC 20018-2738
Phone (202) 529-6510
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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 Aug 21, 2025. 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.