MEDICARE: KENYA CHERYL HUSBANDS NP

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	363LF0000X	Family Nurse Practitioner	RN1023504	DC

General Provider Information

NPI Number	:	1831618917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENYA CHERYL HUSBANDS NP

Provider Business Mailing Address
First Line	:	4960 8TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-3908
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 45TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-4632
Country	:	US
Telephone Number	:	202-469-4699
Fax Number	:

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

Provider Enumeration Date	:	09/11/2017
Last Update Date	:	08/20/2019

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