Provider Demographics
NPI:1023350725
Name:WHYTE NEPTUNE, ARTEMIS NICOLE
Entity type:Individual
Prefix:
First Name:ARTEMIS
Middle Name:NICOLE
Last Name:WHYTE NEPTUNE
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 1:1617 E ST NE APT 3
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-5550
Mailing Address - Country:US
Mailing Address - Phone:202-247-8111
Mailing Address - Fax:
Practice Address - Street 1:5510 ILLINOIS AVENUE N W
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011
Practice Address - Country:US
Practice Address - Phone:202-882-9310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA9871374U00000X
DC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes374U00000XNursing Service Related ProvidersHome Health Aide