Provider Demographics
NPI:1316694060
Name:SWAO, NSHEMEIZE GARNET
Entity type:Individual
Prefix:
First Name:NSHEMEIZE
Middle Name:GARNET
Last Name:SWAO
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 1:11116 WHEELER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SUDLEY SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-5708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1501 HARRY THOMAS WAY NE APT 214
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7365
Practice Address - Country:US
Practice Address - Phone:703-310-9931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider