Individual provider · Type 1 NPI

Stephane Tsague Ganhym

Psychiatric/Mental Health Nurse Practitioner · Washington, DC

NPI number 1073120572 Active

Practice location

2759 Martin Luther King Jr Ave SE Ste 301
Washington, DC 20032-2651

Call (202) 827-9961 Map

Fax (202) 827-9963

Mailing address

8612 Fire Rock Rd
Laurel, MD 20724-1990

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	RN223730 (MD)
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	RN1041475 (DC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1073120572

Stephane Tsague Ganhym's National Provider Identifier is 1073120572, issued on Sep 29, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Washington, DC. The record was last updated on Nov 28, 2023.