Healthcare Provider Details

I. General information

NPI: 1548502511
Provider Name (Legal Business Name): MISS SHARON LUM ASANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2013
Last Update Date: 03/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1828 METZEROTT RD APT 506
ADELPHI MD
20783-3481
US

IV. Provider business mailing address

1828 METZEROTT RD APT 506
ADELPHI MD
20783-3481
US

V. Phone/Fax

Practice location:
  • Phone: 202-730-5367
  • Fax:
Mailing address:
  • Phone: 202-730-5367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA4927
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberA00092128
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: