Organization
PROFESSIONAL HEALTHCARE RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA L. PEREIRA APRN (PALLIATIVE CARE NURSE PRACTITIONER)
(301) 351-4405
Entity
Organization
Contact information
Practice address
1010 WISCONSIN AVE NW, SUITE 300, WASHINGTON, DC 20007-3603
(202) 289-1201
(202) 289-5461
Mailing address
9524 CANONBURY SQ, FAIRFAX, VA 22031-6086
(301) 351-4405
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
RN1014389
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN1014389
—
DC
Enumeration date
03/27/2013
Last updated
08/02/2013
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