Provider Demographics
NPI:1487398301
Name:WRICE, DELSHAWN ANNETTE
Entity type:Individual
Prefix:
First Name:DELSHAWN
Middle Name:ANNETTE
Last Name:WRICE
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 1:1624 BUCHANAN ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-3121
Mailing Address - Country:US
Mailing Address - Phone:202-446-6352
Mailing Address - Fax:
Practice Address - Street 1:2515 R ST SE APT 326
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3970
Practice Address - Country:US
Practice Address - Phone:240-707-4265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant