Provider Demographics
NPI:1639765142
Name:CURTIS, KAREN BRENDA
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:BRENDA
Last Name:CURTIS
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 1:4918 N CAPITOL ST NW APT 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-6708
Mailing Address - Country:US
Mailing Address - Phone:202-731-4103
Mailing Address - Fax:
Practice Address - Street 1:4401 CLERMONT DR NE APT 124
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4996
Practice Address - Country:US
Practice Address - Phone:202-445-9416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant