Provider Demographics
NPI:1154849230
Name:CAPITAL AREA NURSE PRACTITIONERS
Entity Type:Organization
Organization Name:CAPITAL AREA NURSE PRACTITIONERS
Other - Org Name:DISTRICTFUZE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:IBIRONKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:202-888-1214
Mailing Address - Street 1:840 1ST ST NE FL 3
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-8000
Mailing Address - Country:US
Mailing Address - Phone:202-888-1214
Mailing Address - Fax:888-845-0551
Practice Address - Street 1:10 G ST NE STE 600
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4253
Practice Address - Country:US
Practice Address - Phone:202-888-1214
Practice Address - Fax:845-207-0667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-08
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational HealthGroup - Multi-Specialty