Provider Demographics
NPI:1013439694
Name:EPIE, PATIENCE EPOLE
Entity Type:Individual
Prefix:
First Name:PATIENCE
Middle Name:EPOLE
Last Name:EPIE
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 1:6670 GEORGIA AVE NW APT 203
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2550
Mailing Address - Country:US
Mailing Address - Phone:202-340-0229
Mailing Address - Fax:
Practice Address - Street 1:6670 GEORGIA AVE NW APT 203
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2550
Practice Address - Country:US
Practice Address - Phone:202-340-0229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA12865374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide