Provider Demographics
NPI:1952660557
Name:SHITTU, KARIMOT B (CNA)
Entity Type:Individual
Prefix:MS
First Name:KARIMOT
Middle Name:B
Last Name:SHITTU
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9308 CHERRY HILL RD
Mailing Address - Street 2:APT # 301
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-1272
Mailing Address - Country:US
Mailing Address - Phone:240-542-4141
Mailing Address - Fax:
Practice Address - Street 1:9308 CHERRY HILL RD
Practice Address - Street 2:APT # 301
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1272
Practice Address - Country:US
Practice Address - Phone:240-542-4141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1401129130376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide