Provider Demographics
NPI:1710588256
Name:SLAYTON, SHARITA C
Entity Type:Individual
Prefix:
First Name:SHARITA
Middle Name:C
Last Name:SLAYTON
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 1:918 42ND ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-1932
Mailing Address - Country:US
Mailing Address - Phone:202-577-6954
Mailing Address - Fax:
Practice Address - Street 1:918 42ND ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-1932
Practice Address - Country:US
Practice Address - Phone:202-399-7184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide