Provider Demographics
NPI:1710248299
Name:NAPPER, TYNEOSHA A
Entity Type:Individual
Prefix:
First Name:TYNEOSHA
Middle Name:A
Last Name:NAPPER
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 1:3510 MINNESOTA AVE SE
Mailing Address - Street 2:APT. 1
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-8212
Mailing Address - Country:US
Mailing Address - Phone:202-534-8779
Mailing Address - Fax:
Practice Address - Street 1:3510 MINNESOTA AVE SE
Practice Address - Street 2:APT. 1
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-8212
Practice Address - Country:US
Practice Address - Phone:202-534-8779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide