Provider Demographics
NPI:1336774025
Name:FORCHA, NEREUS ECHIA
Entity Type:Individual
Prefix:
First Name:NEREUS
Middle Name:ECHIA
Last Name:FORCHA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9737 MOUNT PISGAH RD APT 1102
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2038
Mailing Address - Country:US
Mailing Address - Phone:240-476-2756
Mailing Address - Fax:
Practice Address - Street 1:1124 BARNABY TER SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4301
Practice Address - Country:US
Practice Address - Phone:202-731-1112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant