Monique Gordon

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

NPI 1346014339 · NPPES record last updated Nov 9, 2023

Key facts

NPI
1346014339
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
A00126589 (MD)
Practice address
4601 Connecticut Ave NW Apt 117
Washington, DC 20008-5701
Phone
(202) 744-8368
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
No

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
A00126589MDMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A00126589 MD Yes

Addresses

Primary practice location

4601 Connecticut Ave NW Apt 117
Washington, DC 20008-5701

Mailing address

3532 Pear Tree CT Apt 33
Silver Spring, MD 20906-2566
Phone (301) 442-2595

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.