Provider Demographics
NPI:1386893386
Name:VEBANGSI, ELIZABETH NINI (DNP/FNP/PMHNP)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:NINI
Last Name:VEBANGSI
Suffix:
Gender:F
Credentials:DNP/FNP/PMHNP
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:NINI
Other - Last Name:VEBANGSI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP/FNP/PMHNP
Mailing Address - Street 1:11801 BISHOPS CONTENT RD BOWIE MD 20721
Mailing Address - Street 2:11801 BISHOPS CONTENT RD SE
Mailing Address - City:WASHINGTON DC
Mailing Address - State:DC
Mailing Address - Zip Code:20019
Mailing Address - Country:US
Mailing Address - Phone:240-486-2783
Mailing Address - Fax:
Practice Address - Street 1:4514 BENNING RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-5149
Practice Address - Country:US
Practice Address - Phone:202-800-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN963620363LP0808X
MDR150578363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health