Provider Demographics
NPI:1427759588
Name:CHARLESAINT, EMIE
Entity type:Individual
Prefix:
First Name:EMIE
Middle Name:
Last Name:CHARLESAINT
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 1:1401 BLAIR MILL RD APT 412
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4817
Mailing Address - Country:US
Mailing Address - Phone:347-791-3136
Mailing Address - Fax:
Practice Address - Street 1:1401 BLAIR MILL RD APT 412
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4817
Practice Address - Country:US
Practice Address - Phone:347-791-3136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200002535251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health