Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP NKEMGANG, NP
Deactivated Sole ProprietorPHILIP NKEMGANG, NP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BOWIE, Maryland. NPI 1790043586 is deactivated in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · BOWIE, MD
This NPI has been deactivated.
The record was deactivated on July 31, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1790043586
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2012 (13.252054794521 yrs)
- Last Updated
- Oct 29, 2025
- Deactivated
- Jul 31, 2025
- License
-
NP1026027 (DC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4804 LAKEVIEW LNBOWIE, MD, 207204247Browse MD providers · Browse ZIP 20720
- Phone
- 2406038148
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in BOWIE, MD
| Name | Credential | NPI |
|---|---|---|
| JANEFRANCES CHINWE EZIMORAH | — | 1104073303 |
| CHINMA NJOKU | — | 1710287495 |
| VICTORIA TITUS | NP-C | 1215207543 |
| MS. ABIMBOLA LATEEFAT JUNAID | PMHNP | 1932468568 |
| MS. SOLANGE N MISSIBI | APRN, PMHNP | 1174886931 |
| QUINTA MANENJU | — | 1629323464 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.