Healthcare Provider Details

I. General information

NPI: 1922961937
Provider Name (Legal Business Name): TONYA LOLITA CARTER-CROSBY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 FLORIDA AVE NE APT 801
WASHINGTON DC
20002-5024
US

IV. Provider business mailing address

1804 WAESCHE PL
BOWIE MD
20721-2261
US

V. Phone/Fax

Practice location:
  • Phone: 240-695-0404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: