Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Queenta M Bwang

Individual provider Licensed Practical Nurse · NPI 1508473083

Queenta M Bwang is a Licensed Practical Nurse in Centerville, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020

Practice location Address checks out

843 Revere Village Ct
Centerville, OH 45458-3445
Phone: (144) 365-7360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN.176191.MEDS (OH)

Record details

NPI number1508473083
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 28, 2020
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 28, 2020
Mailing address843 Revere Village Ct, Centerville, OH 45458-3445

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