Provider Demographics
NPI:1841865680
Name:WHITE, CHARTAY RAKI
Entity type:Individual
Prefix:
First Name:CHARTAY
Middle Name:RAKI
Last Name:WHITE
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 1:183 35TH ST NE APT 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-2526
Mailing Address - Country:US
Mailing Address - Phone:202-717-3323
Mailing Address - Fax:
Practice Address - Street 1:115 16TH ST NE # E104
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6556
Practice Address - Country:US
Practice Address - Phone:202-597-6419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion