Tyrelle Naqua White
Individual provider Active NPI Personal Care Attendant · Capitol HGTS, MD
NPI 1669963005 · NPPES record last updated May 22, 2018
Key facts
- NPI
- 1669963005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 6901 Drylog St
Capitol HGTS, MD 20743-2433 - Phone
- (301) 310-8899
- NPI assigned
- May 22, 2018
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
6901 Drylog St
Capitol HGTS, MD 20743-2433
Mailing address
6901 Drylog St
Capitol HGTS, MD 20743-2433
Phone (301) 310-8899
Other providers in Capitol HGTS, MD
All providers in Capitol HGTS, MD · Personal Care Attendant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.