Provider Demographics
NPI:1134878119
Name:PHILPOT, ALICIA NICHOLE
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:NICHOLE
Last Name:PHILPOT
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 1:3302 CURTIS DR APT 102
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-2648
Mailing Address - Country:US
Mailing Address - Phone:202-321-4365
Mailing Address - Fax:
Practice Address - Street 1:4922 ASTOR PL SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-6251
Practice Address - Country:US
Practice Address - Phone:202-321-4365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-18
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion