Provider Demographics
NPI:1992501936
Name:GLADDEN, TONICE ANICA
Entity type:Individual
Prefix:MS
First Name:TONICE
Middle Name:ANICA
Last Name:GLADDEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3339 BROTHERS PL SE APT 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-1684
Mailing Address - Country:US
Mailing Address - Phone:202-213-2835
Mailing Address - Fax:
Practice Address - Street 1:3339 BROTHERS PL SE APT 1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-1684
Practice Address - Country:US
Practice Address - Phone:202-213-2835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant