Provider Demographics
NPI:1285847475
Name:CHING, CARMEN K (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:K
Last Name:CHING
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10213 GREEN HOLLY TER
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5812
Mailing Address - Country:US
Mailing Address - Phone:240-498-0611
Mailing Address - Fax:301-962-5733
Practice Address - Street 1:8901 WISCONSIN AVE STE 2A
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-4624
Practice Address - Country:US
Practice Address - Phone:301-400-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD127947363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD127947OtherSTATE REGISTRATION
MDMC0609125OtherDEA