Provider Demographics
NPI:1114253317
Name:NGIOWA, DAGMAR (DNP-NP-C)
Entity Type:Individual
Prefix:DR
First Name:DAGMAR
Middle Name:
Last Name:NGIOWA
Suffix:
Gender:F
Credentials:DNP-NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 HANOVER PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2028
Mailing Address - Country:US
Mailing Address - Phone:301-477-1903
Mailing Address - Fax:301-477-1860
Practice Address - Street 1:7301 HANOVER PKWY STE A
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2028
Practice Address - Country:US
Practice Address - Phone:301-477-1903
Practice Address - Fax:301-477-1860
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR200704363LP0808X
MDF0816181363LF0000X
MDR2821332BN1400X, 332BP3500X
TXF0816181363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0273686 00Medicaid