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NPI 1689295016 · live from the CMS NPI Registry

Mary Nketiah

Registered Nurse, Registered Nurse First Assistant in Washington, DC. National Provider Identifier 1689295016, active.

NPI record

NPI1689295016 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Registered Nurse First Assistant 163WR0006X
Practice location4320 Cathedral Ave Nw, Washington, DC 20016
Practice phone917-597-2457
Mailing address19538 Crystal Rock Dr Apt 24, Germantown, MD 20874
EnumeratedApril 27, 2020
Last updatedApril 27, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Technician, Personal Care Attendant3747P1801X—
Registered Nurse, Registered Nurse First Assistant primary163WR0006XA00076519 (MD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.