Provider Demographics
NPI:1467273680
Name:ISRAEL, NASIA JUDEA
Entity type:Individual
Prefix:
First Name:NASIA
Middle Name:JUDEA
Last Name:ISRAEL
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 1:2401 WASHINGTON PL NE APT 105
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-1062
Mailing Address - Country:US
Mailing Address - Phone:202-277-7268
Mailing Address - Fax:
Practice Address - Street 1:900 5TH ST SE APT 250
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4506
Practice Address - Country:US
Practice Address - Phone:202-421-9271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant