Provider Demographics
NPI:1154009017
Name:CARTER, RONISHA LEANN
Entity type:Individual
Prefix:
First Name:RONISHA
Middle Name:LEANN
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 24TH ST NE # E104
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1926
Mailing Address - Country:US
Mailing Address - Phone:202-751-7421
Mailing Address - Fax:
Practice Address - Street 1:901 5TH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4518
Practice Address - Country:US
Practice Address - Phone:202-925-1123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker