Healthcare Provider Details

I. General information

NPI: 1053014522
Provider Name (Legal Business Name): VERDETTA FRANKLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 11/07/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4505 1ST ST SE APT 101
WASHINGTON DC
20032-5814
US

IV. Provider business mailing address

4505 1ST ST SE APT 101
WASHINGTON DC
20032-5814
US

V. Phone/Fax

Practice location:
  • Phone: 202-445-9484
  • Fax:
Mailing address:
  • Phone: 202-445-9484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: