Provider Demographics
NPI:1619455375
Name:PLEASANT, DARNELLE ALEXANDRA
Entity Type:Individual
Prefix:
First Name:DARNELLE
Middle Name:ALEXANDRA
Last Name:PLEASANT
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 1:3582 HAYES ST NE APT 202
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-7506
Mailing Address - Country:US
Mailing Address - Phone:202-813-6460
Mailing Address - Fax:
Practice Address - Street 1:3582 HAYES ST NE APT 202
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-7506
Practice Address - Country:US
Practice Address - Phone:202-813-6460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13834374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide