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Khalifatu O Fawehinmi

Licensed Practical Nurse in Washington, DC. Individual provider (NPI-1).

NPI number1790345809
StatusActive
Last updated in NPPESJun 20, 2019

Details

NPI
1790345809
Entity type
Individual (NPI-1)
Name
Khalifatu O Fawehinmi
Sex
Female
Sole proprietor
No
Enumeration date
Jun 20, 2019
Last updated
Jun 20, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLPN46835MDYes

Practice location

3298 Fort Lincoln Dr Ne Apt 1010
Washington, DC 20018-4342

Phone 240-475-5096

Mailing address

656 Charante Ct Apt 104
Glen Burnie, MD 21061-5198

Phone 240-475-5096

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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