Provider Demographics
NPI:1437696937
Name:SHROPSHIRE, MARTICIA MICHELLE
Entity Type:Individual
Prefix:
First Name:MARTICIA
Middle Name:MICHELLE
Last Name:SHROPSHIRE
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 1:14 M ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1335
Mailing Address - Country:US
Mailing Address - Phone:202-553-6213
Mailing Address - Fax:
Practice Address - Street 1:14 M ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1335
Practice Address - Country:US
Practice Address - Phone:202-553-6213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator