Healthcare Provider Details

I. General information

NPI: 1871922997
Provider Name (Legal Business Name): RASHEDA PERSINGER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2013
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

4500 FORBES BLVD STE 200W21
LANHAM MD
20706-6312
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-8871
  • Fax:
Mailing address:
  • Phone: 202-280-4323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberR221462
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN1007773
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: