Chippela Necola Bryant, LPN

Individual provider Active NPI Licensed Practical Nurse · Washington, DC

NPI 1497110290 · NPPES record last updated Dec 21, 2015

Key facts

NPI
1497110290
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN1004870 (DC)
Practice address
5501 1St St NW
Washington, DC 20011-5258
Phone
(202) 558-2448
NPI assigned
Dec 21, 2015
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
LPN1004870DCMDLicensed Practical Nurse
LP52592MDMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1004870 DC Yes
Licensed Practical Nurse 164W00000X LP52592 MD

Addresses

Primary practice location

5501 1St St NW
Washington, DC 20011-5258

Mailing address

795 Barnaby St SE
Washington, DC 20032-3545
Phone (202) 491-5940

Other providers in Washington, DC

All providers in Washington, DC · Licensed Practical Nurse in District of Columbia

Sources for this page

Verify at the official NPI Registry.