Provider Demographics
NPI:1528323771
Name:KAMENDI, VIOLET (CRNP)
Entity type:Individual
Prefix:
First Name:VIOLET
Middle Name:
Last Name:KAMENDI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 NISQUALLY CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5702
Mailing Address - Country:US
Mailing Address - Phone:240-852-9384
Mailing Address - Fax:888-447-5575
Practice Address - Street 1:16021 COMPRINT CIR
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1319
Practice Address - Country:US
Practice Address - Phone:240-852-9384
Practice Address - Fax:888-447-5575
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2024-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR175055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily