Provider Demographics
NPI:1922515089
Name:MAYO, NAKIA (HHA)
Entity Type:Individual
Prefix:MS
First Name:NAKIA
Middle Name:
Last Name:MAYO
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 MOUNT VIEW PL SE APT 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-5249
Mailing Address - Country:US
Mailing Address - Phone:202-867-9396
Mailing Address - Fax:
Practice Address - Street 1:501 SCHOOL ST SW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2774
Practice Address - Country:US
Practice Address - Phone:202-955-8355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13280374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide