Individual
MRS. NICOLE NOUBISSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 EDGEWOOD ST NE, WASHINGTON, DC 20017-3314
(202) 300-6869
Mailing address
601 EDGEWOOD ST NE, WASHINGTON, DC 20017-3314
(202) 300-6869
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
2892602
DC
374U00000X
Home Health Aide
—
DC
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/16/2012
Last updated
10/09/2023
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