Provider Demographics
NPI:1376245951
Name:DURANT, TASIA K
Entity Type:Individual
Prefix:
First Name:TASIA
Middle Name:K
Last Name:DURANT
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 1:5505 MARLBORO PIKE APT 11
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-1108
Mailing Address - Country:US
Mailing Address - Phone:202-415-5161
Mailing Address - Fax:
Practice Address - Street 1:1221 M ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-5176
Practice Address - Country:US
Practice Address - Phone:202-875-2733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion