MEDICARE: HERNY USSERY

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	:	1578256434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERNY USSERY

Provider Business Mailing Address
First Line	:	2115 I ST NE APT 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3247
Country	:	US
Telephone Number	:	202-848-2861
Fax Number	:

Provider Business Practice Location Address
First Line	:	2115 I ST NE APT 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3247
Country	:	US
Telephone Number	:	202-848-2861
Fax Number	:

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

Provider Enumeration Date	:	05/29/2023
Last Update Date	:	05/29/2023

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Directions to “ HERNY USSERY ” Practice Location

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