Individual
BEVERLY SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032-4933
(202) 883-9847
Mailing address
6007 CHILLUM PL NE, WASHINGTON, DC 20011-1501
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN5813
DC
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
10/25/2023
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