Provider Demographics
NPI:1598544199
Name:CHALMERS, CARLEEN GLORIA
Entity Type:Individual
Prefix:MS
First Name:CARLEEN
Middle Name:GLORIA
Last Name:CHALMERS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CARLEEN
Other - Middle Name:GLORIA
Other - Last Name:ROANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:940 EASTERN AVE NE APT 10
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-7073
Mailing Address - Country:US
Mailing Address - Phone:202-297-9523
Mailing Address - Fax:
Practice Address - Street 1:1301 7TH ST NW APT 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3513
Practice Address - Country:US
Practice Address - Phone:202-525-5997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
DC363433747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide