Provider Demographics
NPI:1538968979
Name:TITA NWA, PATIENCE NJENU
Entity type:Individual
Prefix:
First Name:PATIENCE
Middle Name:NJENU
Last Name:TITA NWA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8476 MAGIC TREE CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-3811
Mailing Address - Country:US
Mailing Address - Phone:240-879-7841
Mailing Address - Fax:
Practice Address - Street 1:8476 MAGIC TREE CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22153-3811
Practice Address - Country:US
Practice Address - Phone:240-879-7841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide