Provider Demographics
NPI:1316745995
Name:WOOLEN, CHANTEL JANVIER (ADULT FIRST AID/ CPR)
Entity type:Individual
Prefix:
First Name:CHANTEL
Middle Name:JANVIER
Last Name:WOOLEN
Suffix:
Gender:
Credentials:ADULT FIRST AID/ CPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 HOOD CIR APT 208
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25403-1374
Mailing Address - Country:US
Mailing Address - Phone:681-452-0010
Mailing Address - Fax:
Practice Address - Street 1:715 24TH STREET NW
Practice Address - Street 2:APT 315
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-2000
Practice Address - Country:US
Practice Address - Phone:240-585-0781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant