Provider Demographics
NPI:1720580293
Name:NWAOGU, JANET C (LPN)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:C
Last Name:NWAOGU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9708 UNDERWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744
Mailing Address - Country:US
Mailing Address - Phone:301-802-5687
Mailing Address - Fax:
Practice Address - Street 1:6856 EASTERN AVENUE SUITE 320 A
Practice Address - Street 2:
Practice Address - City:WASHINGTON (AND VICINITY)
Practice Address - State:MD
Practice Address - Zip Code:20744
Practice Address - Country:US
Practice Address - Phone:301-802-5687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLPN7816164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse