Provider Demographics
NPI:1073751285
Name:NASCIMENTO, ANA LUISA (CNM)
Entity Type:Individual
Prefix:MRS
First Name:ANA LUISA
Middle Name:
Last Name:NASCIMENTO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MS
Other - First Name:ANA LUISA
Other - Middle Name:
Other - Last Name:RALSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM, MS
Mailing Address - Street 1:1220 12TH ST SE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3722
Mailing Address - Country:US
Mailing Address - Phone:202-715-7900
Mailing Address - Fax:202-544-4393
Practice Address - Street 1:3020 14TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-6865
Practice Address - Country:US
Practice Address - Phone:202-745-4300
Practice Address - Fax:202-232-8910
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1011659367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC02-4905300Medicaid
DC091802OtherMEDICARE - UPPER CARDOZO (UNITY HEALTH CARE SITE SPECIFIC)