Provider Demographics
NPI:1851854111
Name:PRICE, CHANTE N
Entity Type:Individual
Prefix:
First Name:CHANTE
Middle Name:N
Last Name:PRICE
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 1:2416 ELVANS RD SE APT 203
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3511
Mailing Address - Country:US
Mailing Address - Phone:202-739-7190
Mailing Address - Fax:
Practice Address - Street 1:3600 V STREET APT 302
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-2002
Practice Address - Country:US
Practice Address - Phone:202-276-9797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide