Basic Information
| Provider Information | |||||||||
| NPI: | 1144645714 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DARAMY | ||||||||
| FirstName: | ISATA | ||||||||
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| NameSuffix: | I | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6813 RIVERDALE RD | ||||||||
| Address2: | APT H 2 | ||||||||
| City: | RIVERDALE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207371800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2407646972 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2512 24TH ST NE | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200182126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028328340 | ||||||||
| FaxNumber: | 2028328341 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2014 | ||||||||
| LastUpdateDate: | 02/19/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | LPN1006357 | DC | Y | Nursing Service Providers | Licensed Practical Nurse | 164W00000X | LP47827 | MD | N | Nursing Service Providers | Licensed Practical Nurse |
No ID Information.