Individual provider · Type 1 NPI

Eva Modesto Bacongallo

Nurse's Aide · Washington, DC

NPI number 1407735046 Active

Practice location

1429 Columbia Rd NW Apt 7
Washington, DC 20009-4717

Fax (202) 699-2595

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XA00224811 (MD)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1407735046

Eva Modesto Bacongallo's National Provider Identifier is 1407735046, issued on Aug 28, 2025. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Washington, DC. The record was last updated on Aug 28, 2025.