Provider Demographics
NPI:1578273017
Name:ONSERIO, TIMOTHY NYAKANGO (DNP, APRN,FNP-C)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:NYAKANGO
Last Name:ONSERIO
Suffix:
Gender:M
Credentials:DNP, APRN,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10770 COLUMBIA PIKE # 1021
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4402
Mailing Address - Country:US
Mailing Address - Phone:240-966-4266
Mailing Address - Fax:
Practice Address - Street 1:10770 COLUMBIA PIKE # 1021
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4402
Practice Address - Country:US
Practice Address - Phone:240-966-4266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-23
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11022989363LF0000X
MDR189170363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily