NPI 1174322416

Philomene Tatabong

Practitioner Licensed Practical Nurse Hyattsville, MD

Practice location

Address: 4090 Warner Ave, Hyattsville, MD 20784-1929
Phone: (240) 906-7422

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN200002783 (DC)

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Registry record

NPI: 1174322416
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Mar 2025
Record last updated: 10 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.