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Individual provider Active NPI Licensed Practical Nurse · Washington, DC

NPI 1861297574 · NPPES record last updated Feb 17, 2025

Key facts

NPI
1861297574
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN200002819 (DC)
Practice address
1420 K St NW Ste 1000
Washington, DC 20005-2508
Phone
(202) 545-6980
Fax
(877) 839-6747
NPI assigned
Feb 17, 2025
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
LPN200002819DCMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN200002819 DC Yes

Addresses

Primary practice location

1420 K St NW Ste 1000
Washington, DC 20005-2508

Mailing address

13312 Sheffield Manor Dr
Silver Spring, MD 20904-7200

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.