Provider Demographics
NPI:1104677012
Name:CHAWO, HENRY AUDREY NOUMEN
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:AUDREY NOUMEN
Last Name:CHAWO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HENRY
Other - Middle Name:AUDREY
Other - Last Name:NOUMEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7855 RIVERDALE RD APT 202
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-4026
Mailing Address - Country:US
Mailing Address - Phone:124-025-4452
Mailing Address - Fax:
Practice Address - Street 1:702 15TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4508
Practice Address - Country:US
Practice Address - Phone:202-388-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator