Haltine Asi

Individual provider Active NPI Licensed Practical Nurse · Washington, DC

NPI 1992373286 · NPPES record last updated Jun 21, 2024

Key facts

NPI
1992373286
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN200002341 (DC)
Practice address
7600 Georgia Ave NW
Washington, DC 20012-1616
Phone
(202) 723-3060
NPI assigned
Jun 14, 2021
Sex
Male
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
LPN200002341DCMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN200002341 DC Yes
Home Health Aide 374U00000X

Addresses

Primary practice location

7600 Georgia Ave NW
Washington, DC 20012-1616

Mailing address

11302 Springpark CT
Glenn Dale, MD 20769-9611
Phone (240) 714-6295

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.