Provider Demographics
NPI:1073252722
Name:LITTLE, WILLIAM (BLS, FIRST AIDE/CPR)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:LITTLE
Suffix:
Gender:M
Credentials:BLS, FIRST AIDE/CPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4311 3RD ST SE APT 101
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-3209
Mailing Address - Country:US
Mailing Address - Phone:202-569-4283
Mailing Address - Fax:
Practice Address - Street 1:4311 3RD ST SE APT 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-3209
Practice Address - Country:US
Practice Address - Phone:202-569-4283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist