Provider Demographics
NPI:1275383275
Name:ENCARNACION, BISORA ARMENIA
Entity Type:Individual
Prefix:
First Name:BISORA
Middle Name:ARMENIA
Last Name:ENCARNACION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 16TH ST NW APT 518
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1761
Mailing Address - Country:US
Mailing Address - Phone:202-465-2178
Mailing Address - Fax:
Practice Address - Street 1:6101 16TH ST NW APT 518
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1761
Practice Address - Country:US
Practice Address - Phone:202-465-2178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant