Healthcare Provider Details

I. General information

NPI: 1932824745
Provider Name (Legal Business Name): CIARA SPENCER PERKINS DNP, WHNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 21ST ST NW STE 200
WASHINGTON DC
20036-3324
US

IV. Provider business mailing address

127 U ST NW
WASHINGTON DC
20001-1605
US

V. Phone/Fax

Practice location:
  • Phone: 202-331-1740
  • Fax:
Mailing address:
  • Phone: 334-300-7581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAC005053
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1-171628
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024186043
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNP500006330
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: