Provider Demographics
NPI:1942856026
Name:DENT, NYONA RISHAN (CPR, FIRST AIDE)
Entity Type:Individual
Prefix:
First Name:NYONA
Middle Name:RISHAN
Last Name:DENT
Suffix:
Gender:F
Credentials:CPR, FIRST AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 PLATA ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2340
Mailing Address - Country:US
Mailing Address - Phone:202-683-0723
Mailing Address - Fax:
Practice Address - Street 1:3825 W ST SE UNIT A
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-1380
Practice Address - Country:US
Practice Address - Phone:202-750-6401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant