Provider Demographics
NPI:1578285714
Name:SHAW, RHENYCE A
Entity Type:Individual
Prefix:
First Name:RHENYCE
Middle Name:A
Last Name:SHAW
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 1:3750 JAMISON ST NE APT 203
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-4457
Mailing Address - Country:US
Mailing Address - Phone:571-598-8445
Mailing Address - Fax:
Practice Address - Street 1:103 G ST SW APT 614
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-4331
Practice Address - Country:US
Practice Address - Phone:202-940-4581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant