Healthcare Provider Details

I. General information

NPI: 1235615196
Provider Name (Legal Business Name): ATIM EYERE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2018
Last Update Date: 02/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 LONGFELLOW ST NE
WASHINGTON DC
20011-2441
US

IV. Provider business mailing address

2I31 O STREET NW
WASHINGTON DC
20037
US

V. Phone/Fax

Practice location:
  • Phone: 202-785-2577
  • Fax: 202-833-1711
Mailing address:
  • Phone: 202-785-2577
  • Fax: 202-833-1711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: