Shantelle Brittany Dare

Individual provider Active NPI Nurse's Aide · Washington, DC

NPI 1033833397 · NPPES record last updated Sep 30, 2022

Key facts

NPI
1033833397
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
NA0000605227 (DC)
Practice address
7600 Georgia Ave NW
Washington, DC 20012-1616
Phone
(202) 800-9005
NPI assigned
Sep 30, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
NA0000605227DCMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NA0000605227 DC Yes

Addresses

Primary practice location

7600 Georgia Ave NW
Washington, DC 20012-1616

Mailing address

7600 Georgia Ave NW
Washington, DC 20012-1616
Phone (202) 800-9005

Other providers in Washington, DC

All providers in Washington, DC · Nurse's Aide in District of Columbia

Sources for this page

Verify at the official NPI Registry.