Provider Demographics
NPI:1376899765
Name:MARCELLI, KYERA MONIQUE (PCA)
Entity Type:Individual
Prefix:
First Name:KYERA
Middle Name:MONIQUE
Last Name:MARCELLI
Suffix:
Gender:F
Credentials:PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 K STREET, NW 7TH FLOOR
Mailing Address - Street 2:ASAP SERVICES CORPORATION
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005
Mailing Address - Country:US
Mailing Address - Phone:202-293-2931
Mailing Address - Fax:202-293-3480
Practice Address - Street 1:1420 K STREET, NW
Practice Address - Street 2:7TH FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005
Practice Address - Country:US
Practice Address - Phone:202-293-2931
Practice Address - Fax:202-293-3480
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide