Provider Demographics
NPI:1841870995
Name:GASKINS, SEDANA MICHELLE I
Entity type:Individual
Prefix:
First Name:SEDANA
Middle Name:MICHELLE
Last Name:GASKINS
Suffix:I
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 1:301 33RD ST SE APT 303
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-2423
Mailing Address - Country:US
Mailing Address - Phone:202-840-5555
Mailing Address - Fax:
Practice Address - Street 1:301 33RD ST SE APT 303
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-2423
Practice Address - Country:US
Practice Address - Phone:202-840-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide