=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922003078
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA CHEEWEI CHOO CRNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/16/2005
-----------------------------------------------------
Last Update Date | 05/07/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 825 N CAPITOL ST NE ROOM 4161
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20002-4210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-478-5793
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18028 ROYAL BONNET CIR
-----------------------------------------------------
City | MONTGOMRY VILLAGE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20886-0446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-401-6576
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | RN1010272
-----------------------------------------------------
License Number State | DC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | R123551
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------