Provider Demographics
NPI:1053825059
Name:DOCKERY, LAPREA NICOLE (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:
First Name:LAPREA
Middle Name:NICOLE
Last Name:DOCKERY
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:MS
Other - First Name:LAPREA
Other - Middle Name:NICOLE
Other - Last Name:DOCKERY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HOME HEALTH AIDE
Mailing Address - Street 1:159 IRVINGTON ST SW APT 102
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-1024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:159 IRVINGTON ST SW APT 102
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-1024
Practice Address - Country:US
Practice Address - Phone:703-867-3163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA11602374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide