Individual provider · Type 1 NPI
Johnson Tangunyi
Licensed Practical Nurse · Upper Marlboro, MD
NPI number
1689540643
Active
Practice location
13502 Water Fowl Way
Upper Marlboro, MD 20774-7093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LPN1003132 (DC) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2 other providers at this address
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About NPI 1689540643
Johnson Tangunyi's National Provider Identifier is 1689540643, issued on Oct 15, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Oct 15, 2025.