MEDICARE: SHARHONDA PATRICK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1386286607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARHONDA PATRICK

Provider Business Mailing Address
First Line	:	3475 24TH ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-1901
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10501 NEW HAMPSHIRE AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1122
Country	:	US
Telephone Number	:	301-445-3350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2019
Last Update Date	:	10/09/2019

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Directions to “ SHARHONDA PATRICK ” Practice Location

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