Provider Demographics
NPI:1508443656
Name:STEVENS, CHRISTOPHER DARNELL
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DARNELL
Last Name:STEVENS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1839 13TH ST NW APT 302
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-4493
Mailing Address - Country:US
Mailing Address - Phone:202-277-2178
Mailing Address - Fax:
Practice Address - Street 1:1839 13TH ST NW APT 302
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-4493
Practice Address - Country:US
Practice Address - Phone:202-277-2178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant