Provider Demographics
NPI:1851901664
Name:PEAY, DEMETRIA SATARRA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:DEMETRIA
Middle Name:SATARRA
Last Name:PEAY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 15TH ST NW STE 1000
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-2621
Mailing Address - Country:US
Mailing Address - Phone:615-224-5188
Mailing Address - Fax:844-882-9927
Practice Address - Street 1:1015 15TH ST NW STE 1000
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2621
Practice Address - Country:US
Practice Address - Phone:615-224-5188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1034350363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner