Individual
NICKEDA GRAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 9TH ST SE APT 1218, WASHINGTON, DC 20032-4023
(771) 233-0136
Mailing address
312 37TH ST SE APT 203, WASHINGTON, DC 20019-3140
(202) 520-1584
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/09/2012
Last updated
03/16/2026
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