Provider Demographics
NPI:1891668638
Name:ATANGA, RACHEAL TATKEU
Entity type:Individual
Prefix:
First Name:RACHEAL
Middle Name:TATKEU
Last Name:ATANGA
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 1:5200 EASTERN AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2716
Mailing Address - Country:US
Mailing Address - Phone:240-978-9045
Mailing Address - Fax:
Practice Address - Street 1:5200 EASTERN AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2716
Practice Address - Country:US
Practice Address - Phone:240-978-9045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide