Provider Demographics
NPI:1245920677
Name:WHEATHERBY, RASHAN B
Entity type:Individual
Prefix:
First Name:RASHAN
Middle Name:B
Last Name:WHEATHERBY
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 1:7300 E FOREST RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-5211
Mailing Address - Country:US
Mailing Address - Phone:202-629-8034
Mailing Address - Fax:
Practice Address - Street 1:2206 SAVANNAH ST SE APT 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-7538
Practice Address - Country:US
Practice Address - Phone:202-718-9032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty