Provider Demographics
NPI:1750830014
Name:TALIAFERRO, DENISE (CNA)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:TALIAFERRO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 EDGEWOOD ST NE APT 917
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-4247
Mailing Address - Country:US
Mailing Address - Phone:202-378-8794
Mailing Address - Fax:
Practice Address - Street 1:611 EDGEWOOD ST NE APT 917
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-4247
Practice Address - Country:US
Practice Address - Phone:202-378-8794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNA006019163747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant