Provider Demographics
NPI:1790202547
Name:HEMPHILL, NATHIEL A
Entity Type:Individual
Prefix:
First Name:NATHIEL
Middle Name:A
Last Name:HEMPHILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 62ND ST NE APT 111
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-2847
Mailing Address - Country:US
Mailing Address - Phone:202-597-8881
Mailing Address - Fax:
Practice Address - Street 1:323 62ND ST NE APT 111
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-2847
Practice Address - Country:US
Practice Address - Phone:202-597-8881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant