Healthcare Provider Details

I. General information

NPI: 1427475326
Provider Name (Legal Business Name): BEATRICE TICHEU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2014
Last Update Date: 03/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14000 CASTLE BLVD APT 903
SILVER SPRING MD
20904-4642
US

IV. Provider business mailing address

14000 CASTLE BLVD APT 903
SILVER SPRING MD
20904-4642
US

V. Phone/Fax

Practice location:
  • Phone: 202-723-1100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: