Provider Demographics
NPI:1689347346
Name:NAVARRO, PRISCILLA S
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:S
Last Name:NAVARRO
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 1:1429 COLUMBIA RD NW APT 37
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-4719
Mailing Address - Country:US
Mailing Address - Phone:202-667-9207
Mailing Address - Fax:
Practice Address - Street 1:3322 14TH ST NW APT 242
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2327
Practice Address - Country:US
Practice Address - Phone:301-232-4382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant