| Carpenters Services | |
|
4639 Hilltop Ter Se Washington DC 20019-7837 | |
| (202) 290-9838 | |
| Not Available |
| Full Name | Carpenters Services |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4639 Hilltop Ter Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Jackie Carpenter (CEO) |
| Authorized Official Contact | 2022909838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carpenters Services 4639 Hilltop Ter Se Washington DC 20019-7837 Ph: (202) 290-9838 | Carpenters Services 4639 Hilltop Ter Se Washington DC 20019-7837 Ph: (202) 290-9838 |
| NPI Number | 1447981469 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 09/01/2022 |
| Certification Date | 08/31/2022 |
| Medicare PECOS PAC ID | 3577943331 |
|---|---|
| Medicare Enrollment ID | O20220711001714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447981469 | NPI | - | NPPES |
| Provider Name | Pamela N Wanki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114537545 PECOS PAC ID: 7012302821 Enrollment ID: I20220314001778 |
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