Erica Cooper

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

NPI 1386048643 · NPPES record last updated Oct 15, 2014

Key facts

NPI
1386048643
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
1401162879 (VA)
Practice address
3332 6TH St SE
Washington, DC 20032-3933
Phone
(202) 813-8367
NPI assigned
Oct 15, 2014
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
1401162879VAMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 1401162879 VA Yes

Addresses

Primary practice location

3332 6TH St SE
Washington, DC 20032-3933

Mailing address

3332 6TH St SE
Washington, DC 20032-3933

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.