Healthcare Provider Details

I. General information

NPI: 1205354404
Provider Name (Legal Business Name): NWEQUESHI AWAACHWI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 18TH ST NE
WASHINGTON DC
20018-2738
US

IV. Provider business mailing address

306 EVARTS ST NE APT 105
WASHINGTON DC
20002-1040
US

V. Phone/Fax

Practice location:
  • Phone: 202-529-6510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA12984
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: