Provider Demographics
NPI:1780352112
Name:ESPINOZA CHAVEZ, ERICKA AIDA
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:AIDA
Last Name:ESPINOZA CHAVEZ
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 1:5826 COLORADO AVE NW APT 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2855
Mailing Address - Country:US
Mailing Address - Phone:202-227-7131
Mailing Address - Fax:
Practice Address - Street 1:4201 CATHEDRAL AVE NW # 1013EAST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4901
Practice Address - Country:US
Practice Address - Phone:202-390-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant