Provider Demographics
NPI:1841806239
Name:CARSON, MORENIKE
Entity Type:Individual
Prefix:MISS
First Name:MORENIKE
Middle Name:
Last Name:CARSON
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 1:3504 NEWTON PL APT 1
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-2116
Mailing Address - Country:US
Mailing Address - Phone:703-994-9347
Mailing Address - Fax:
Practice Address - Street 1:1229 G ST SE APT 522
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-7017
Practice Address - Country:US
Practice Address - Phone:202-568-3060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide