Provider Demographics
NPI:1912773656
Name:WATSON HASSANALI, NIA
Entity Type:Individual
Prefix:
First Name:NIA
Middle Name:
Last Name:WATSON HASSANALI
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 1:1826 N CAPITOL ST NW APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1591
Mailing Address - Country:US
Mailing Address - Phone:929-412-7443
Mailing Address - Fax:
Practice Address - Street 1:1826 N CAPITOL ST NW APT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1591
Practice Address - Country:US
Practice Address - Phone:929-412-7443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant