QUEENTA M BWANG
NPI 1508473083
Licensed Practical Nurse in Centerville, OH

Active since September 28, 2020
843 REVERE VILLAGE CT, CENTERVILLE, OH 45458(144) 365-7360 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Queenta M Bwang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUEENTA M BWANG (NPI 1508473083) is an individual licensed practical nurse in Centerville, Ohio, licensed in Ohio (LPN.176191.MEDS) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1508473083
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameQUEENTA M BWANG
Location Address843 REVERE VILLAGE CTCenterville, OH 45458-3445
Mailing Address843 Revere Village CtCenterville, OH 45458-3445 · (144) 365-7360
Sole ProprietorYes
Enumeration DateSeptember 28, 2020
NPPES CertifiedSeptember 28, 2020
NPI 1508473083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OH · LPN.176191.MEDS
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
843 REVERE VILLAGE CT, Centerville, OH 45458

Other Names 1

Professional Name (2)Queenta M Bwang

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Queenta Bwang's NPI number?

The NPI number for Queenta Bwang is 1508473083. It was assigned to this individual provider in the NPPES registry on September 28, 2020. The provider is also known as Queenta M Bwang.

Where is Queenta Bwang located?

Queenta Bwang practices at 843 Revere Village Ct, Centerville, OH 45458. The listed phone number is (144) 365-7360.

What is Queenta Bwang's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Queenta Bwang was last updated on September 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.